Paediatric Orthopedic Surgery – Introduction

The Paediatric Orthopedic Surgery Department is dedicated to the diagnosis, treatment, and management of musculoskeletal conditions affecting infants, children, and adolescents. The department focuses on providing age-appropriate, gentle, and effective orthopedic care to support healthy growth and development.

Our services include the management of congenital deformities, developmental disorders, trauma and fractures, limb deformities, spinal conditions, and sports-related injuries. Both surgical and non-surgical treatments are offered using modern techniques tailored to a child’s unique needs.

The department is staffed by experienced paediatric orthopedic surgeons, specialized anesthesiologists, physiotherapists, orthotic specialists, and nursing teams trained in child-centered care. Family involvement, pain management, rehabilitation, and long-term follow-up are integral to the treatment process.

With a strong commitment to safety, precision, and compassionate healing, the Paediatric Orthopedic Surgery Department strives to restore mobility, function, and confidence—helping children move, grow, and thrive.

TYPES OF PAEDIATRIC ORTHOPEDIC SURGERY PROCEDURES

1. Congenital & Developmental Conditions

🔹 Clubfoot / Foot Deformities

Ponseti casting (non-surgical but orthopedic procedure)

Percutaneous tendo-Achilles tenotomy

Posteromedial release surgery

Dorsomedial release

Cavus foot correction

Flatfoot reconstruction (rare in children)

🔹 Developmental Dysplasia of Hip (DDH)

Closed reduction + hip spica

Open reduction

Pemberton osteotomy

Dega osteotomy

Salter osteotomy

Femoral varus derotation osteotomy

Periacetabular osteotomy (older children)

🔹 Limb Deficiencies / Deformities

Limb lengthening (Ilizarov / Hexapod / Nail)

Correction of angular deformities (valgus/varus)

Guided growth (8-plate hemiepiphysiodesis)

Osteotomies of femur, tibia, humerus

Congenital short femur correction

Fibular hemimelia correction

Radius/ulna deformity correction

🔹 Cerebral Palsy Orthopedics

Soft-tissue release (adductor, hamstrings, gastrocnemius)

Tendon lengthening

Tendon transfer

Hip reconstruction

Single-event multilevel surgery (SEMLS)

2. Pediatric Trauma Surgery

Fracture fixation (closed reduction / percutaneous pinning)

Elastic intramedullary nailing (TEN/ESIN)

Plating of fractures

External fixation

Supracondylar fracture fixation

Femur fracture fixation

Forearm fracture stabilization

Open fractures debridement

Physeal (growth plate) injury management

3. Pediatric Spine Surgery

🔹 Scoliosis & Kyphosis

Posterior spinal fusion

Growing rod surgery

VEPTR (Vertical expandable prosthetic titanium rib)

Shilla growth guidance

Hemivertebra excision

Vertebral body tethering (VBT)

🔹 Spine Trauma

Stabilization with pedicle screws

Laminoplasty / laminectomy (rare)

🔹 Spinal Infections

Debridement

Stabilization

4. Neuromuscular Disorders

Hip reconstruction

Knee deformity correction

Foot deformity correction

Tendon transfers

Contracture release

Spasticity surgery (orthopedic portion)

5. Pediatric Hip Surgery (Other than DDH)

SCFE (Slipped Capital Femoral Epiphysis) fixation

Osteotomy for SCFE

Perthes disease surgeries:

Femoral osteotomy

Pelvic osteotomy

Shelf procedure

Hip arthroscopy (labral tear, loose body)

6. Limb Lengthening & Reconstruction

Ilizarov ring fixator

Taylor Spatial Frame (TSF)

Monolateral external fixator

Internal lengthening nails (PRECICE)

Correction of complex deformities

Management of nonunion/malunion

7. Upper Limb Pediatric Orthopedics

Brachial plexus reconstruction

Tendon transfers

Osteotomy for deformities

Radial club hand correction

Madelung deformity correction

Trigger thumb release

8. Tumors & Oncology

Biopsy of bone tumors

Curettage + bone grafting

Excision of benign tumors (osteochondroma, enchondroma)

Limb-sparing surgery for malignant tumors

Reconstruction after tumor resection

9. Infections & Inflammatory Conditions

Acute osteomyelitis drainage

Septic arthritis washout

Chronic osteomyelitis debridement

Abscess drainage

Bone grafting after infection

10. Pediatric Foot & Ankle Surgeries

Cavovarus correction

Vertical talus correction

Metatarsus adductus correction

Calcaneovalgus deformity correction

Tarsal coalition resection

11. Sports Injuries (Adolescents)

ACL reconstruction (physeal-safe)

Meniscus repair

MPFL reconstruction

Shoulder stabilization

12. Other Specialized Procedures

Amputation surgeries (congenital / trauma)

Prosthetic fitting & reconstruction procedures

Bone cyst treatment (aspiration / injection / bone grafting)

Epiphysiodesis (limb length equalization)