The Fracture and Orthopaedic Clinic at St Joseph’s Health Centre provides consultation, fracture management and surgical follow-up care for all age groups. Our care team of orthopaedic surgeons, medical residents, orthopaedic technologists and nurses work together to provide safe, patient-centred care.
Patients are referred to the Fracture and Orthopaedic Clinic either through our Emergency Department, one of our inpatient departments, by an orthopaedic surgeon or by a family physician in our community.
To be seen in our clinic, patients must meet one of the following criteria:
- Any fracture requiring ongoing care
- Acute joint injuries
- Recent soft tissue injuries or acute inflammatory joint problem
- Foot or hip deformity
- Flare-up of previous problem within one year of discharge from clinic
The Fracture and Orthopaedic Clinic is located in the Barnicke wing on the ground floor, next to the Emergency Department. Patients and families can be dropped off at the Emergency Department entrance. There is an underground visitor parking lot located just north of the Emergency Department.
When coming for your appointment please bring with you:
- H.I.P (health) card
- All medications
- Any X-ray, MRI or CT image on CD
- Any X-ray, MRI, CT or ultrasound written reports
- If necessary, an interpreter or ask the clinic staff to arrange interpreter services via telephone
- A list of question to your appointment to help you remember everything you want to ask
How can I see an orthopaedic surgeon in the Fracture Clinic?
All patients require a referral from a doctor. The referring doctor should fax the referral to the booking office at 416-530-6691. Some patients are referred by the Emergency Department as well. Due to the high volume of patients seen in the clinic we are unable to accept walk in patients.
Once my doctor has faxed the referral, when can I expect a call about a booked appointment?
You and your doctor will be notified of the appointment within six business days of the receipt of the referral.
Your referring doctor will contact you with the appointment information once the appointment is booked. In addition, the booking office will notify you by phone regarding your first appointment. Missing information and/or incomplete referrals may cause a delay in our booking process.
Why do I have to take a number if I have a scheduled appointment?
All patients seen in the clinic have a scheduled appointment. In order to maintain patient flow in the clinic we ask that all patients take a number and have a seat. Your number will be called for registration.
NOTE: Patients are seen in order of appointment time, not arrival time.
How long will my appointment take?
Due to the unpredictable nature of the clinic and the volume of patients, you may spend 1-3 hours in the clinic. We do our best to ensure our appointments remain on time.
Why are some patients that arrive after me called in to the clinic before me?
Patients are booked to see the multi-disciplinary team for various reasons. Therefore, some patients may be called in to the clinic sooner than others for certain treatments.
What do I do if I cannot make my scheduled appointment?
All patients are given a business card that provides information about their next appointment and the telephone number to the clinic. If you cannot attend your appointment please call to cancel or reschedule your appointment as soon as possible.
What is the health equity questionnaire?
All patients are asked a standard set of questions about your background during registration. We collect this information to find out who we serve and what unique needs our community has. These questions are voluntary and you can chose “prefer not to answer” to any or all questions. However, any information you chose to provide will help us improve the quality of services we offer.
Does OHIP cover all costs?
OHIP does not cover medical devices or injections. These items may be covered by your private insurer or extended health care plan. You will be invoiced at the end of your appointment for any applicable devices or medication you received. It is helpful to contact your insurer before your first visit to ask about your insurance coverage. Some examples of these medical devices are air cast boots, splints, fiberglass casts. Please note this example list is not exhaustive. You will be billed at the end of your appointment for any devices or injections you require.
What is a joint injection?
If you have osteoarthritis, your surgeon may choose to inject your joint with an anti-inflammatory medication which helps to reduce the pain. This medication is not covered by OHIP.
What are the different types of casts I can have applied?
- Plaster cast: A standard cast that is provided at no charge
- Fiberglass cast: A lighter cast that can be applied for a fee. These come in a variety of colours.
- Waterproof fiberglass cast: A lighter cast that is also waterproof. It can be applied for an additional fee and comes in a variety of colours.
The Fracture and Orthopaedic Clinic provides the following services:
- Casting and bracing
- Follow-up fracture care
- Consultations with orthopaedic surgeons
- Post-operative follow-up care
- Osteoporosis screening program:
- Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue. This leads to increased bone fragility and risk of fracture (broken bones), particularly of the hip, spine, wrist and shoulder.
- St Joe’s works in partnership with Osteoporosis Canada to provide screening at the time of fracture clinic appointments. The screening will assist in determining those at risk for osteoporosis and future fractures. An osteoporosis screening coordinator will advise your family practitioner if further diagnostic testing and/or treatment if it is required. Patients are provided with a copy of the letter and requested to follow up with their family doctor.
- Smoking cessation program:
- Stopping smoking before surgery even for a short time can reduce risks associated with surgery and improve your surgical success and return to mobility.
- Some of the benefits of stopping smoking before surgery include improved bone healing, reduced wound infection, fewer breathing and heart problems during your recovery.
- The smoking cessation program is available to all patients who visit the Fracture Clinic. Please advise your surgeon or the clinic team if you are a smoker and would like to receive information about this free program.
- This program is sponsored by the Canadian Orthopaedic Foundation (canorth.org) and Canadian Anesthesiologists’ Society
- For more information please visit: stopsmokingforasafersurgery.ca or smokershelpline.ca (1-877-513-5333)