Orthopaedics at The Children's Hospital at Westmead
- General enquiries: (02) 9845 2879
- Please fax referrals to the Orthopaedic Outpatients Clinic: (02) 9845 2702
- All fractures must go to Emergency.
We are located on Level 2 of the hospital.
The Orthopaedics Department manages patients with a range of conditions including:
- Spina bifida
- Cerebral palsy
- Limb lengthening and deformity correction
- Musculoskeletal oncology
- Fractures and conditions affecting feet, ankles, hips, knees, hands and upper limbs.
We provide a 24-hour trauma service and follow-up for our trauma patients.
Fracture referral procedure
Children with fractures, regardless of type, place of residence, a previous appointment with GP or attendance at another hospital’s emergency department, need to go to the Emergency Department.
During working hours an orthopaedic Junior Medical Officer (JMO) covers the Emergency Department. All patients with fractures are reviewed by an orthopaedic JMO in ED before an appointment is made with a consultant at the clinic.
In cases where a faxed referral relating to a fracture is received by the Orthopaedic Outpatient’s Clinic, the family is telephoned and advised to present to the Emergency Department.
The Spine Clinic sees patients with back pain, Scoliosis and spinal conditions. We accept referrals from general practitioners, paediatricians, and other medical specialists.
To make an appointment with the clinic, please use the webform.
Like more information?
You can call us on 9845 2879.
Children must be 14 years or younger to be seen as a new referral. Existing patients may be referred until 16 years of age.
Please include the reason for referral, the child's DOB, results of previous investigations, family contact details and Medicare number on your referral.
Please address the referral to the specialist by name (areas of specialty below) and fax to the Orthopaedic Outpatient's Clinic on 9845 2702.
Referrals are assessed in order of urgency and appointments are confirmed in writing and posted to the family/patient.
Level 2 - Orthopaedic Department
Ph: (02) 9845 2879
Fax: (02) 98452702
Monday to Friday. The day of your appointment depends on the consultant your child will see.
Special interests or sub-specialty clinics
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We've got factsheets on clavicle fracture, soft tissue, wrist buckle fracture, lateral column lengthening of the foot, femoral derotation and more.
Tiana’s story: fixing bones that just won't heal
Tiana's diagnosis of the congenital disorder neurofibromatosis type 1 (NF1) always made her vulnerable to breaking a bone—but when she fell off a beam at preschool and broke her leg, no-one could have anticipated her long journey to recovery.
One of the characteristics of NF1 is that broken bones just won’t heal: the disease prevents the cells from releasing the agents they need to grow into new bone.
Professor David Little, Head of the Orthopedic Research and Biotechnology Unit at the Kids Research Institute (KRI) and his team are researching the biology of how and why this happens. By using a combination of drugs, they have shown they can increase the formation of bone and at the same time control bone resorption, or the breaking down of the bone. Tiana has been wearing a leg brace since she was 17 months old. She also spent 15 months wearing an ilizarov, a metal frame apparatus, and spent nearly a year with her leg in plaster.
By the time she was eight years old she had undergone ten operations, and she’s still facing months of physiotherapy to help her walk and run like other children. Tiana’s fighting spirit got her through the many painful months—but being unable to walk for so long took a greater psychological toll.
“Emotionally it’s been very hard on her,” says her mother, Nicole. While Tiana’s leg is now stable, Professor Little’s team is keen to find a way of speeding up the healing process.
They have recently shown in the lab that they can knock out the NF1 genes that are causing the problem and are hopeful that now they can tailor a specific treatment to children with this condition.
“As well as the combined treatment we are already using, we hope to find other drugs to stop the cells doing the wrong thing. Treatment will be more reliable and these children’s fractures will heal like any other fractures,” says Professor Little. “Tiana’s now walking without crutches, but it took so many years and we need to do better. We will keep researching until we can do that.”