What we do
The Division of Orthopaedics is responsible for the management of approximately 14,000 kids annually through our clinics, not including satellite clinics. We manage children with a variety of diagnoses, ranging from club foot to musculoskeletal tumors.
In order to meet the demand in the community, we at SickKids are working with orthopaedic surgeons in the community and surrounding hospitals to provide better paediatric orthopaedic management to all of Ontario.
We have organized specific clinics that have been designed to alleviate 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. These specialized clinics can be found in the Programs and Services section, and include the:
- Physio club foot clinic
- Multidisciplinary musculoskeletal tumour (MMT) clinic
- Scoliosis clinic
- Fracture clinic
- Baby hip clinic
The past accomplishments of the Division are extensive. For example, the Division of Orthopaedics has:
- Developed new surgical procedures for a number of disorders including procedures for hip and spine problems.
- Led multi-centre clinical trials to identify the best treatments for several common orthopaedic problems.
- Identified the causative genes for more than a dozen orthopaedic conditions.
- Identified non-operative treatments, such as drug therapies and continuous passive motion, which reduces the need for surgery or improves the outcome of surgery.
- Developed programs to improve orthopaedic outcome in developing countries.
- Treated over 500,000 children for orthopaedic problems and performed over 80,000 orthopaedic operations.
- Developed injury prevention and disease screening strategies to reduce the incidence of children sustaining fractures and requiring treatment for neglected problems.
- Trained over 330 clinical fellows, more than any other single centre in the world, who continue to make significant contributions in the field.
WHAT WE ARE PLANNING
- We are developing new models of care delivery to treat patients with complex problems. Multidisciplinary clinics are being increasingly organized to serve children with bone health problems, complex spinal disorders, neuromuscular disorders, limb deficiencies and bone and soft tissue cancers.
- We study the biology and genetics of birth defects, developmental deformities and tumours involving the spine and the limbs. We wish to develop new therapeutic approaches to regrow absent parts, to correct deformities and treat bone tumours without surgery.
- We have expertise in basic science and in the determination of clinical outcomes of treatment. In the future we plan to marry these areas together in order to rigorously test novel treatments based on our new-found understanding of the pathophysiology of musculoskeletal disorders.
- We are undertaking a program to develop new minimally invasive surgical techniques.
- We are developing novel educational programs to train highly specialized physicians from developing countries to ensure sustainable high quality orthopaedic care.