Orthopaedics

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Orthopaedics

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Orthopaedics
- Straight.

• Ortho
• Paedics

- Children
An Orthopod (Amer.) practices Orthopedic Surgery
The name has nothing to do with feet !!!!
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Orthopaedics

• Only existed as a branch of General Surgery
  before the Second World War.
• Largely consisted of the treatment of Fractures.
• After WW2, returning veterans had a variety of
  permanent injuries, requiring a new
  subspecialty with new knowledge.
• In 1952, Polio struck North America, affecting
  the baby boomers primarily.

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Orthopaedics

• Imagine a world, made free for democracy at the
  cost of millions of lives, that now had to deal
  with the highly visible, human cost of that
  victory
• maimed soldiers,
• and betrayed by polio, that affected the first
  fruit of that victory
• young children,
• born to the very people that had suffered to win
  the war.

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Orthopaedics

• This produced a huge psychologic effect on most
  of the western world. Interest was generated in
  the field of medically correctible deformity.
• - fractures.
• - congenital deformities.
• - amputations.
• - paediatric illness.

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Orthopaedics

• With the recognition and acceptance of a systems
  approach to medicine, Orthopaedics evolved into
  the treatment of diseases of the
• - Arthritis.
• - Geriatrics.
• - Bone and Soft Tissue Tumours.
• - Metabolic Diseases involving bone.

Locomotor System.
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Orthopaedics

• Locomotor Diseases are treated by 3
  subspecialties
• - Orthopaedics - surgical.
• - Rheumatology - medical.
• - Physiatry - rehabilitative.

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Orthopaedics

• The surgical treatment of-
• - Fractures.
• - Arthritis.
• - Soft Tissue Injuries.
• - Skeletal Deformities.
• - Bone Tumours.
• - Developmental Skeletal Diseases.

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Orthopaedics

• BUT-
• This crosses may interdisciplinary
  boundaries.
• - Spinal Surgery.
• - Trauma.
• - Hand Surgery.
• - Rehabilitation.
• - Reconstructive Surgery.
• - Research.

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Orthopaedics

• Training-
• - A five year residency
• - General Surgery.
• - Plastics.
• - ICU.
• - General Medicine.
• - Neurosurgery.
• and - Three years of Orthopaedics.

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Orthopaedics

• Training-
• - most residents also undertake two years of
  fellowship.
• - required for a university appointment.
• - recommended for Community practice.

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Orthopaedics

• Position availability-
• Orthopaedics is a growth industry.
• - the aging population.
• - epidemic Osteoporosis.
• - Sports - injuries arthritis.
• - Gravity.

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Orthopaedics

• Position availability-
• Orthopaedics is a growth industry.
• - The interdisciplinary nature of the
  specialty, probably means that there will always
  be a place for any physician with this expertise.

Pity the cardiac surgeons!
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Orthopaedics

• Working Conditions-
• The stereotypical perception of Orthopaedic
  work-
• - work all day, work all night.
• - low priority surgery.
• - little drama.
• - podiatry, osteopathy, chiropractic
• and orthopaedics.
• (Dont you guys just fix feet)

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Orthopaedics

• Working Conditions-
• The recognition of the work load and importance
  of Orthopaedics has led to major changes in the
  working environment.
• trauma rooms
• support staff
• fees
• hospital budgets

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Orthopaedics

• Working Conditions-
• No Oncology
• No Paediatrics
• No Trauma
• No Surgery

- if you dont want it.
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Orthopaedics

• Working Conditions-
• The truth is that the three happiest disciplines
  for the practitioner are-
• Obstetrics give them babies!
• Ophthalmology make them see!
• Orthopaedics make them walk!

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Orthopaedics

• Working Conditions-
• Lest we forget, Orthopaedics is the only
  specialty with its own government agency,
• The W.S.I.B.
• which in Ontario, has a 20 B dollar budget.

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Orthopaedics
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Orthopaedics
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Orthopaedics
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Orthopaedics
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Orthopaedics