Pediatric Orthopedics deals with conservative and surgical treatment of congenital and acquired diseases of musculoskeletal system, injuries and their consequences, benign and malignant tumors of bones and joints.

Pediatric Orthopedics Department at Tel Aviv Medical Clinic annually treats hundreds of children and teenagers from all around the world. Our specialists provide comprehensive treatment of both common orthopedic diseases and very rare ones. TAMC orthopedic surgeons have performed dozens of unique surgeries on spine, upper and lower extremities, which returned child the ability to move independently, grow up and develop in harmony with his body.

Young patients with benign and malignant neoplasms of bones and soft tissues receive comprehensive, individual treatment in accordance with international standards and protocols. Patients with pathology of nervous system, which is accompanied by musculoskeletal disorders, can undergo both the necessary corrective surgical interventions and conservative rehabilitation treatment.

The main treatment advantages in Pediatric Orthopedics Department of TAMC:

Highly qualified and unique practical experience of pediatric orthopedists.
Effective regimens of conservative therapy and rehabilitation programs that will help to delay or even avoid the necessaty for surgical intervention.
Preference by specialists to perform surgeries using minimally invasive surgical techniques, which significantly reduces rehabilitation time and the possibility of postoperative complications.
Unique comprehensive physical rehabilitation programs, thanks to which children quickly return to an active and healthy daily life.
Application of robotic surgery in practice in especially severe cases – surgical installation “Da Vinci”, “SpineAssist”.
Only modern and safe expert-class diagnostic equipment.
Joint stay in clinic of the child and one of parents in comfortable conditions.
Caring and friendly medical staff with extensive experience working with children
Accompaniment by an employee of medical tourism department, interpreter service.

An important feature of Pediatric Orthopedics Department at TAMC is functioning of an entire multidisciplinary team: pediatric orthopedists work together with specialists in the field of oncology, neurology, rheumatology, neurosurgery, pediatrics, and physical rehabilitation. Thanks to coordinated work, doctors manage to achieve success even in the most difficult cases. This comprehensive approach to the problem is completely patient-oriented and represents a modern model for providing highly specialized medical care.

Doctor embracing little girl in hospital room

Departments

Pediatric Orthopedics Department at TAMC operates several highly specialized clinics and departments:

General orthopedics – specialists in this profile engage in primary diagnostics and treatment of the most common orthopedic diseases.
Department of Traumatology and Polytrauma – here children of all ages with traumatic injuries to musculoskeletal system receive the necessary comprehensive care.
Onco-orthopedics – specialists in this profile are engaged in diagnostics and complex treatment of patients with benign and malignant neoplasms of bones and soft tissues.
Neuro-orthopedics – doctors in this department are involved in correction and rehabilitation of musculoskeletal disorders due to primary neurological pathology, for example, deformities of spine, lower extremities due to cerebral palsy or neuromuscular dystrophies.
Spine surgery (scoliosis, kyphosis, lordosis, kyphoscoliosis).
Hand surgery.
Foot and ankle surgery.
Joint endoprosthetics department – specialists in this profile are engaged in selection and installation of joint endoprostheses in children.

What diseases does Pediatric Orthopedics Department treat?

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Diagnostic methods in pediatric orthopedics

Our patients can count on all necessary diagnostic tests and procedures. The department is equipped with modern and safe expert-class diagnostic equipment. A feature of TAMS diagnostics is a quick and comprehensive examination: the patient undergoes all tests prescribed by the doctor within 1-3 working days. The examination program is made up by a specialist during the initial consultation and may include the following methods:

A set of blood and urine laboratory tests, intra-articular fluid.
Molecular genetic tests to determine the genetic nature of musculoskeletal system pathology.
Review and physical examination of child by a pediatric orthopedist.
Modern medical imaging techniques – digital radiography, CT, MSCT, MRI, PET-CS, osteoscintigraphy.
Innovative X-ray unit EOS. This device is capable of scanning the entire body in just 25 seconds. In this case, radiation exposure to child’s body is several times less than with previous generation X-ray machines.
Ultrasound with color Dopplerography (joints, spine, soft tissues, and, if necessary, internal organs).
Ultrasound and X-ray densitometry to determine bone mineral density.
Diagnostic arthroscopy is an examination of joint cavity using an endoscopic instrument – an arthroscope.
Performing a biopsy, for example, of joint lining during arthroscopy, new bone or soft tissue malformations, followed by pathohistological examination of samples by the best pathologists in Israel.

After a second consultation, specialist examines all the results of additional examination, establishes the correct diagnostics and creates a treatment and rehabilitation program.

Important!

Pediatric orthopedists have many years of unique practical experience, which allows them to successfully cope with pathologies of musculoskeletal system in both infants and older children.

The pride of department is oncological orthopedics and neuro-orthopedics direction.

Modern treatment methods in pediatric orthopedics

Pediatric Orthopedics Department at Tel Aviv Medical Clinic specializes in treatment of a range of orthopedic pathologies in children and teenagers. Some of these conditions are diagnosed in early childhood, sometimes even at the stage of intrauterine development (during prenatal ultrasound of fetus during pregnancy). Other pathologies are more typical for teenagers, and their diagnostics is carried out only after the growth process has completed.

The department has neuro-orthopedists who specialize in treating children with spina bifida. This is a congenital defect in development of neural tube, when spine and spinal cord don’t form properly. Such surgeries are performed as early as possible (ideally in the first days of baby’s life) together with neurosurgeons. With the help of modern neurosurgical equipment and powerful microscopes, specialists delicately place spinal cord tissue inside the spinal canal, and neuro-orthopedists close the spinal tissue defect.

Such surgeries can also be performed at the stage of intrauterine development ( fetal medicine). As a rule, intervention is performed using endoscopic techniques specially designed for manipulation of fetus anatomical structures. Intrauterine correction of spina bifida is associated with a better prognosis for child in future, but only a few doctors who specialize in fetal surgery can perform such interventions.

Modern treatment of congenital clubfoot is available to our young patients. This congenital defect in the development of lower extremities has an extremely negative impact on child’s general health and may cause inability to move independently. Previously, extensive surgeries were used to correct this defect, which did not always give a positive result. TAMC pediatric orthopedics specialists offer treatment for congenital clubfoot using modern Ponseti technique.

Moreover, treatment program is comprehensive and begins from the first days of child’s life. At the initial stage, special plaster bandages are applied to feet and changed weekly. After the initial stage, tenotomy is performed (minimally invasive surgery on Achilles tendon), after which child is dressed in braces (special boots with a fixing iron plate between them). Treatment lasts up to 3-4 years and gives excellent results even without extensive surgical interventions on lower extremities.

Performing surgeries on spine (for example, severe scoliosis, deformities due to cerebral palsy, etc.), only minimally invasive approaches and techniques are used, robotic surgery “Da Vinci” and “SpineAssist”; also during intervention, neuro-orthopedists use a unique device for monitoring the condition of spinal cord, which necessary to prevent damage to nerve tissue. A new intraoperative navigation system and a modern computed tomography scanner (O-Arm) are also available for our young patients.

Radiofrequency ablation of osteoid osteoma is a minimally invasive and modern method of treating this benign bone tumor. Osteoid osteoma is often accompanied by severe pain, so children with this diagnosis who have chronic pain are advised to undergo surgery. During the procedure, orthopedist inserts a needle-electrode into the tumor, which is heated to a temperature of 90˚C, as a result of which the tumor is destroyed. In this case, pain disappears forever immediately after the procedure is completed.

A frequent situation is when a child has deformation of lower extremities, with shortening of one leg. In such cases, our pediatric orthopedists perform modern reconstructive interventions: Limb traction using external fixation devices, for example, the well-known Ilizarov apparatus. TAMC uses its improved modern version – Taylor method. Traction using intramedullary osteosynthesis (using various intramedullary metal structures) in combination with external fixation devices, which can significantly reduce the treatment period.

In addition to basic medical services, TAMC clinic practices a comprehensive (plus social and general educational) approach to treating children. Our goal is to create conditions for children that are as close as possible to theis usual and natural way of life. This is very important during a long stay within the walls of a medical institution.