Paediatric Orthopaedics

Paediatric orthopaedics looks after bones, joints and muscles from birth to the end of growth. Children are not small adults: they have growth plates, remodel fractures in ways adults cannot, and have conditions that exist only in childhood.

Much of the work is reassurance and observation, because many worries such as flat feet, in-toeing and mildly bowed legs correct themselves with growth. Where treatment is needed it often runs over years, which shapes what can sensibly be done away from home.

Bedingungen, die dieser Service betreut

• Developmental dysplasia of the hip
• Clubfoot
• Perthes disease and slipped upper femoral epiphysis
• Bow legs, knock knees, in-toeing and flat feet
• Beinlängendifferenz
• Scoliosis and other spinal deformities
• Cerebral palsy and neuromuscular conditions affecting walking
• Fractures and growth plate injuries
• Bone and joint infection
• Benign bone cysts and tumours

Tests, die Ihnen möglicherweise angeboten werden

• Examination and growth history: Gait, rotational profile, joint range and limb lengths; the most informative step.
• Hip ultrasound: For babies under about 6 months.
• X-rays with low dose protocols: Used sparingly; standing long leg films and EOS type low dose imaging where available.
• MRI: For hips, infection, spinal cord assessment and tumours; young children may need sedation.
• Gait analysis: Three dimensional movement study before multi level surgery in cerebral palsy.
• Blood tests: For suspected infection, rickets or inflammatory disease.

Behandlungen verfügbar

• Observation and reassurance: With review visits to confirm natural correction.
• Casting and bracing: Ponseti casts for clubfoot, Pavlik harness for hip dysplasia, scoliosis braces.
• Guided growth: Small plates across one side of a growth plate to straighten knees or equalise leg length, timed to remaining growth.
• Osteotomies of the hip, femur and tibia: Reshape or redirect bones in dysplasia, Perthes disease or deformity.
• Limb lengthening and deformity correction: Frames or lengthening nails, in specialist programmes.
• Scoliosis surgery: Spinal fusion or growth friendly systems for progressive curves.
• Single event multi level surgery: Combined tendon and bone procedures to improve walking in cerebral palsy.
• Fracture care: Mostly casts; flexible nails or wires when needed.

Wann Sie eine Fachmeinung einholen sollten

• A limp, or refusal to walk, especially with fever, which is urgent
• Hip or knee pain in an overweight adolescent, which may be a slipped growth plate and is urgent
• Asymmetry: one leg shorter, one hip stiffer, one foot different
• Bowing or knock knees that are getting worse, one sided or painful
• A curve in the spine noticed on bending forward
• Deformity that is not improving at follow-up

Reisen nach Türkiye für diese Pflege

Be cautious about travelling for a child's orthopaedic care. Conditions needing weekly visits or years of monitoring, such as clubfoot casting, harness treatment and scoliosis bracing, should be managed near home. Travel may be reasonable for a second opinion or a single planned operation, provided a paediatric orthopaedic team at home agrees beforehand to handle casts, X-rays and growth follow-up. Check how your child will travel in a cast and allow extra days for recovery.

Senden Sie Ihre Berichte, Scans und eine kurze Geschichte und eine Clinic-Y Koordinator Antworten innerhalb von 24 Stunden mit geeigneten Teams und schriftlich, All-inclusive Vorschläge nebeneinander. Die Überprüfung Ihres Falls ist kostenlos.

Häufig gestellte Fragen