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Trauma Centre

Treatments & Procedures

We offer comprehensive treatment for the following conditions :

PELVIS, ACETABULUM AND HIP

  • Acetabular fractures
  • Femoral acetabular impingement, osteochondroplasty and labral repair
  • Hip pain in the young adult
  • Hip dysplasia - periacetabular osteotomy

HIP FRACTURES

  • Letournel anterior total hip arthroplasty - minimally invasive
  • Malunion / nonunion hip and femoral neck
  • Osteotomy of the proximal femur
  • Pelvic fractures
  • Pelvic malunion / nonunion
  • Traumatic osteoarthritis of hip

FEMUR

  • Articular fractures of the knee
  • Distal femur fractures
  • Distal femoral osteotomy for malunion
  • Femoral shaft fracture
  • Femoral shaft nonunion
  • Malunion of femoral shaft and distal femur
  • Post-traumatic lengthening of femoral fracture

TIBIA

  • Ankle fractures
  • Complex tibial plateau fractures
  • Limb reconstruction - microvascular free flap
  • Open fractures
  • Pilon fractures
  • Tibial shaft fractures

FOOT

  • Calcaneal fractures
  • Hind, mid and forefoot fractures
  • Lisfranc fractures and salvage procedures
  • Ligament reconstruction of ankle

UPPER EXTREMITY

  • Elbow fracture / dislocation
  • Forearm fractures and soft-tissue trauma
  • Intra-articular distal humeral fractures
  • Proximal humerus fractures, 3-4 part intra-articular shoulder fractures
  • Scapular fractures
  • Segmental humeral shaft fractures, malunions and nonunions
  • Wrist fractures

EXTERNAL FIXATION

External fixation involves the placement of pins into bone and then connecting those pins to bars on the outside of the skin. This is often temporary and used when it's unsafe to perform definitive surgery immediately. An example is in the case of periarticular fractures (those in and around joints), where soft tissue swelling may prevent early surgery from being done due to the risk of infection. Other types of external fixators (small wire fixators) are used for certain fractures (nonunions and malunions) and bone transplant.

INTRAMEDULLARY RODDING

Intramedullary rodding is commonly used for fractures of the femur and tibia. This procedure is done with small incisions and often allows patients to bear weight on the extremity soon after the surgery. The rod is placed inside the canal of the bone and then screws are placed through the rod and bone to maintain alignment of the limb. Additional casting is not needed.

PLATES AND SCREWS

Plates and screws are most often utilized when a bone break is in or near a joint, which includes certain fractures involving the shoulder, elbow, forearm, hip, knee and ankle. The bones are moved back into proper position and a plate with screws is used to hold the fracture in place until it heals. Most often, additional casting is not needed and patients are allowed to begin moving their joints soon after surgery. Our orthopedic surgeons are on the leading-edge of plating technology. We perform advanced minimally invasive plating techniques, allowing for smaller scars, less soft tissue problems and faster healing.

CRANIOTOMY

Opening the skull in surgery to remove a clot and lower brain pressure.

CRANIECTOMY

Removing a part of the skull bone to give the brain more room to swell. This type of surgery may also be done when a clot is removed. The skull bone will be replaced when the patient is better. This is usually several months later.

GASTROSTOMY

Surgery to make an opening into the stomach to place a feeding tube. This surgery is often done at the bedside. The feeding tube is usually temporary. It may be removed by the doctor when the patient is able to eat food.

JEJUNOSTOMY

Surgery to make an opening into the small intestine for placing a feeding tube. This feeding tube is often temporary. It may be removed by the doctor once the patient is able to eat food.

LAPAROTOMY

Surgery that opens the abdomen. When it is opened, doctors can examine and treat organs, blood vessels or arteries.

SUCTION

A procedure to remove secretions from the mouth and lungs. Suction lines can also be placed in the body during surgery to remove fluid to an outside.

THORACOTOMY

Surgery to open the chest

TRACHEOSTOMY

Surgery that makes an incision in the throat area just over the trachea to insert a breathing tube. When complete, the breathing tube in the mouth will be taken out. This surgery is often done at thebedside. The tracheostomy tube may be removed by the doctor when the patient can breathe on their own and can cough up secretions.

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