Orthopaedic Care

Clinical
The Orthopaedic Program consists of a multidisciplinary team of surgeons, nurses, PT, OT, pharmacist, and social work. It is the sole regional provider of tertiary level orthopaedic services and secondary care for the Kingston community. The Orthopaedic program provides tertiary level care to the residents, and consultation to community physicians, throughout Eastern Ontario and Moose Factory. Furthermore, it provides some routine ambulatory and inpatient orthopaedic specialty care for the population of the greater Kingston area and Moose Factory. Emergent secondary level care is provided for the population of Southeastern Ontario when such care is unavailable through regional centres. A full range of consultative, diagnostic, surgical and follow-up orthopaedic services are provided by the Division of Orthopaedic Surgery for both the adult and paediatric population, however the program as structured at KGH is responsible for adult care. Members of the division are also part of the Paediatric Care Program for children requiring orthopaedic surgery.

The Division provides ambulatory clinics and outpatient surgery at the Hotel Dieu Hospital, and outreach services in Moose Factory through the Weeneebayko General Hospital. While uncomplicated inpatient surgical service is also provided in Moose Factory, the Division provides complicated surgical treatment, or treatment to higher-risk patients, on an inpatient basis at Kingston General Hospital (KGH). The Divisions role also includes 24-hour seven days per week on-call coverage for emergency, orthopaedic trauma, and inpatient needs at the KGH.

Within the program there are 4 subspecialty areas including: upper extremity and sports medicine; arthroplasty; spine and paediatrics; and trauma. As one of the largest surgical programs in the hospital, the Division has a 45-inpatient bed service on Kidd-Davies 4, of which 32 beds are in the Davies wing and the remaining 13 are in Kidd Wing. The prostheses used for hip and knee surgery receive specialized funding as a priority program by the MOHLTC

The program works collaboratively with other services such as Plastic Surgery, in the provision of some reconstructive surgical services, surgical Oncology, in the management of pathologic fractures and spine and pelvic tumours, Sports Medicine, Paediatrics, and Neurosurgery. It relies on clinical lab, diagnostic imaging, physiotherapy, occupational therapy, pharmacy, intensive care, OR and PACU, palliative care, chronic care/complex continuing care and respite care, emergency services, clinical nutrition, social work, respiratory therapy, acute pain management and anaesthesia to provide patient care.

Research
The foci of research for the Division of Orthopaedic Surgery include epidemiology and clinical outcome research, practice-based biomechanics, computer-assisted surgery, and orthopaedic biology and implant research. The Division supports, and works with, the HMRC in fulfilling its role in research. The Divisions has research strength as seen by their current grants totalling in excess of 10 million dollars.