Paediatric Orthopaedic Surgery
Our paediatric orthopaedic service at Gloucestershire Royal Hospital offers an outpatient and inpatient service to treat children with on-going orthopaedic problems, as well as more acute problems such as fractures and bone and joint infections.
We see, advise and treat all congenital problems (conditions children are born with), including clubfoot and hip problems in babies, and the vast majority of disorders affecting bones and joints in babies and children of any age. Children with bow-legs, knock-knees, in-toeing, tip-toe walking, and painless flat foot are also seen by the team, however, these patients may be seen solely by a senior physiotherapist.
We also run two dedicated paediatric fracture clinics a week where we see children with fractures and injuries referred from accident and emergency departments.
In addition we run a Ponseti casting clinic for the treatment of clubfoot deformity.
We also run several specialist paediatric orthopaedic clinics:
- we treat babies with developmental dysplasia of the hip (DDH) and combine ultrasound scanning in the radiology department with an immediate clinic visit, for one-stop-care
- we run a specialist Ponseti clubfoot clinic for new patients and follow-ups, and perform tendo-Achilles tenotomies (lengthening of the Achilles tendon) in the clinic under local anaesthetic
- we run a joint paediatric hand clinic once a month with two plastic surgical colleagues, accepting referrals for congenital and acquired paediatric hand conditions
- we see patients with neuromuscular disorders (usually cerebral palsy) and orthopaedic problems in a combined clinic held on alternative months in the paediatric outpatient clinic
Your treatment and what to expect
Once your referral letter has been received you will be allocated to a specific clinic within the paediatric orthopaedic service.
The care of all patients is overseen by a consultant, however, you may well be seen by either an extended scope practitioner (a senior physiotherapist who has been specially trained to see and treat certain problems) or a registrar.
The registrar will discuss your case with one of the consultants, and if necessary the consultant will also come to see you. Allocating patients in this way allows each patient to be seen by the most appropriate person and with the least waiting time.
It is rare for us to require blood tests to be taken, but if they are, you will be asked to go to the children's centre for this to be done. You are more likely to require an x-ray which will be done in xxxxx.
Other investigations, such as ultrasounds and magnetic resonance imaging (MRI) scans require booking and will be done in the following weeks. You will be asked to return to clinic for the results of your scans and for further follow-up.