Services provided by the Pediatric Orthopedics Unit

Areas of treatment:

  • Fractures and fracture complications – surgical and conservative treatment for all varieties of fractures and muscular or tendinous injuries (including ruptures), including complex intra-articular fractures. In addition, treatment of complications from fractures due to growth plate disturbance that can lead to deformity or limb length discrepancy, or deformities due to malunion of fractures.
  • Hip and pelvic conditions – treatment of Developmental Dysplasia of the Hip (DDH) in babies, infants, adolescents and young adults. Methods including the Pavlik harness, hip joint reduction with spica casting, reconstructive pelvic surgery including pelvic and/or femoral osteotomies with open reduction of the hip joint. The pediatric orthopedic department at Hadassah has the most extensive experience in Israel in performing the periacetabular Ganz osteotomy.
  • Neuromuscular conditions, including CP and spina bifida - in our unit the whole spectrum of operations for these conditions are performed, including tendon lengthening, joint reconstruction, and treating limb contractures and deformities. Close cooperation with ALYN allows us to offer the highest standard of post-operative rehabilitation with the best possible results and quickest return to normal function.
  • Congenital and acquired limb deformities and inequalities – in treating limb deformities, our doctors use 3 advanced techniques:
    a) gradual correction by temporary growth plate closure (hemi-epiphysiodesis) allows correction in the growing child. These operations only require a short admission, and permit full weight-bearing immediately after without the use of casts.
    b) acute correction by performing a bone osteotomy with internal fixation using a plate or intramedullary nail. This generally does not require a cast and allows early joint activity.
    c) osteotomy with gradual correction using a computerized ringed external fixator that allows precise deformity correction and full weight-bearing immediately after the procedure
    In dealing with leg length discrepancy, we use either a computerized ringed external fixator or an intramedullary Precise elongating nail. These techniques offer elegant and minimally-invasive solutions for one of the most complex problems in pediatric orthopedics, with historically was treated with amputations or prolonged hardware use. These treatments are predominantly managed in the pediatric department, although are sometimes used in treating similar problems in adult patients. 
  •  Reconstructive operations and surgical treatment in congenital defects, genetic syndromes, metabolic and endocrine diseases – correction of congenital defects, congenital limb deformities such as partial absence of limb, and surgical correction deformities due to skeletal dysplasias (achondroplasia, chondrodysplasia etc).
  • Foot deformities
    - treatment of congenital clubfoot with casting and/or surgical correction
    - congenital vertical talus
    - hallux valgus, including a minimally invasive technique that allows immediate weight-bearing without the use of casting
    - pes planus (flat foot) using various methods, including minimally invasive arthroereisis which allows immediate post-operative weight-bearing without casting
    - tarsal coalition
    - brachymetatarsia (short metatarsal bones), and many other foot deformities
  • Infectious disease of the musculoskeletal system
  • Reconstructive operations and deformity correction of upper limbs – treatment of deformities due to infection, post-traumatic growth plate closure, congenital abnormalities.
  • Brachial plexus injuries – treatment of movement disorders due to brachial plexus injury, muscle transfer, contracture release to improve range of motion, elbow and shoulder osteotomies, and all manner of surgical treatment to improve limb function.