What we do
The Division of Orthopaedic Surgery is responsible for management of approximately 14,000 kids annually through our clinics not including satellite clinics. We manage kids with a variety of diagnoses, ranging from Clubfeet to Musculoskeletal Tumors.
In order to meet the demand in community we at SickKids are working with Orthopaedic Surgeons in the Community and the surrounding hospitals to provide better pediatric orthopaedic management to all of Ontario.
We have organized specific clinics that have been designed to alleviate the congestion in the clinics and allow us to see more patients, thus reducing the average wait times experienced by patients until they receive clinic appointments.
There are currently four such specialized clinics in place. Below you will find a brief overview of each of the clinics and if you navigate with the menu on the left you can access more specific information regarding the clinics or click on “For more info” at the end of each section.
Physio Clubfoot Clinic
The Clubfoot Clinic at SickKids is a multidisciplinary clinic designed to assess and treat children with congenital idiopathic talipes equino varus (clubfoot) foot deformity.
Children are ideally seen within four to six weeks of birth, and commence treatment with serial casting immediately. The treatment procedure requires weekly visits and full correction is often achieved within 10-12 weeks.
Patients in the Clubfoot Program are usually seen by an Orthopaedic Surgeon and a physiotherapist. The Physiotherapist will be responsible for the majority of non-surgical treatment and follow up care. An Orthopaedic technologist will be involved in cast applications with the physiotherapist. Patients will visit an Orthotist for fitting of the Boot and Bar brace when the maintenance phase of treatment is reached. Other staff may be included in your child's assessment if it is required.
Children are monitored in clinic for the first year, then biannually until approximately five years of age.
Click here for more information on the Physio Clubfoot Clinic
Multidisciplinary Musculoskeletal Tumour (MMT) Clinic:
The team that manages musculoskeletal tumours in children includes specialist sarcoma medical oncologists, a clinical oncology nurse practitioner, specialist diagnostic and interventional radiologists, pathologists, a specialist physiotherapist, an oncology social worker, clinic nurses and administrators, a clinical database manager and specialist orthopaedic oncology surgeons. We run a multidisciplinary musculoskeletal tumour clinic where we evaluate and expedite work-up of potentially malignant bone and soft tissue tumours. Referrals are quickly processed. Following thorough structural and functional imaging, a biopsy is often performed. Those tumours requiring chemotherapy are treated as per a Children’s Oncology Group protocol where possible. Those tumours requiring surgery are treated with intralesional, marginal or wide resection, based on the grade of tumour. Limb-sparing reconstructive procedures are usually possible. We aim to maximize function and undertake biological reconstruction with living tissue where possible, sometimes in collaboration with our plastic microvascular surgery colleagues. Reconstruction with state-of-the-art endoprosthetic implants is an alternative approach we utilize. Our group collaborates with the adult musculoskeletal group based at Mt. Sinai and Princess Margaret Hospitals across the road. We hold joint conferences and together maintain the tumour bank and collaborate on basic science and clinical outcomes research.
Click here for more information on the Multidisciplinary Musculoskeletal Tumour (MMT) Clinic
Scoliosis Clinic
Coming Soon
Fracture Clinic
Coming Soon