BHAS: Home of the most skillful Pediatric Orthopedic Specialists in Dubai
Pediatric orthopaedic specialists focus on musculoskeletal conditions in children. The wide range of conditions generally affects bony structures as well as the soft tissues such as muscles and tendons. Conditions arise either by birth or as an acquired condition. It can affect one or several bones, or affect the entire skeleton and child. “Children are no small adults” and as such require an individualized, age-appropriate approach with the goal of decreasing anxiety as much as possible in a clinic and hospital environment. As such, our pediatric orthopedic specialists practice empathy towards worried parents, which we consider essential to a good practice.
Pediatric care needs to take into account child’s growth as well as the long-term treatment outcome into consideration at all times. And although in certain situations, a surgical procedure can become necessary, many conditions might only need to be addressed by screening and prevention, early detection and at times conservative, non-surgical means.
When recommending pediatric orthopedic treatment in Dubai, we will take all important parameters such as remaining growth, functionality, discomfort, potential for spontaneous correction and best medical practice into account. Our goal is to inform patient and parents comprehensively, hence allowing for an informed decision by the parents as to the best treatment for their child.
Some of the common pediatric orthopedic conditions treated at BHAS Dubai
- Congenital conditions of the hip (Congenital hip dislocation, Coxa vara, proximal femoral focal deficiency)
- Acquired hip conditions (Septic arthritis, Perthes disease, Slipped Capital Femoral Epiphysis, Avascular necrosis)
- Congenital and acquired limb deformities
- Foot deformities (Clubfoot, Skew foot, Vertical talus, Tarsal coalition, symptomatic flatfoot, Cavus deformity)
- Conditions of the Spine (Scoliosis, Kyphosis, Spondylolysis, Spondylodiscitis)
- Neuromuscular conditions (Cerebral Palsy, Spina Bifida, HSMN)
- Systemic conditions and skeletal dysplasias (Achondroplasia, Syndrome associated deformities, Osteogenesis imperfecta)
Spinal deformities, such as scoliosis are most common in the adolescent, but can affect children of any age including toddlers. Especially in the younger children, bony deformities of the spine are sometimes found, requiring surgical intervention in some cases. For most spinal deformities however, a non-surgical approach is sought. Special physiotherapy concepts as well as brace treatment can be implemented, should the scoliosis show a progression towards more severe curvatures.
The likelihood of progression needs to be assessed regularly through clinical examination and x-ray by a pediatric orthopedic. In addition, a new genetic test is now available for certain types of scoliosis and can help find the ideal and individual approach for every child with a scoliosis.
In severe scoliosis, a pediatric orthopedic doctor might recommend surgery. In these cases, carefully inserted implants are able to correct most of the deformity without significantly limiting your child’s future activities. New implants such as the VEPTR (vertical expandable prosthetic titanium rods) or other telescopic implants allow us to use growing, expandable devices to improve spinal growth and give more space to the ribcage and much needed lung volume in the very young spine patient.
Early detection of orthopedic problems and regular follow-up throughout growth remains the most important measure in children with spinal deformities. Should surgery become necessary, Burjeel Hospital for Advanced Surgery offers the highest standards of pediatric orthopedic care in Dubai.
Deformity correction and Limb lengthening
Deformities to the extremities are a frequent cause for disability in Children and adults likewise. Conditions can range from a simple leg-length discrepancy to complex deformities and angulations. In children conditions such as fibula or tibia hemimelias are commonly associated with severe deformity and shortening of the leg, resulting in malfunction and pain. In the adult patient, older fractures to the growth plates, bone infection or badly healed fractures can lead to a similar situation. An extremely short stature can at times be treated with bilateral leg lengthening.
The approach to limb deformities is highly individualized and depends on the severity of the deformity, activity level of the patient, patient expectations and technical challenges in reconstruction.
The surgical methods we offer at our hospital in Dubai include correction with computer assisted external fixation devices (Taylor Spatial Frame) as well as internal lengthening devices such as the Precise nail. Often multiple surgeries are necessary to reconstruct complex limb deformities.
Conditions treated at our Dubai orthopedic facility
- Severe Bowlegs and Knock knees and other angular deformities
- Longitudinal deficiencies (Hemimelia, Proximal femoral focal defects)
- Leg length discrepancies
- Contractures of the joints
- Congenital pseudarthrosis of the tibia
- Congenital deformities to the upper extremities
- Growth plate injuries
- Post traumatic deformities
- Short stature