faculty intro quote

“While on service with me, fellows will learn to systematically assess foot and ankle and lower extremity pathology clinically and radiographically. They will be expected to develop complex management and operative plans, and learn the basic principles of the Ponseti method. Through the bone health clinic and my lower extremity reconstruction practice, they will gain an understanding of whole child care for patients with skeletal dysplasias.”

—MARYSE BOUCHARD

“Working with me, fellows can expect to learn the aspects of non-operative and operative treatment of paediatric spinal conditions and a safe approach towards complex spine pathologies.”

—DAVID LEBEL

“Working with me, fellows will learn a goal based approach to decision making and surgical management of ambulatory and non-ambulatory children with chronic developmental disabilities, especially cerebral palsy. The fellow will learn how to plan for, and execute the surgical management of a broad spectrum of congenital, developmental and acquired limb deformities and limb length inequalities.”

—UNNI G. NARAYANAN

“Working with me, fellows will learn a simple and reproducible, yet comprehensive, approach to manage children with cerebral palsy, spina bifida and other neuromuscular disorders. They will develop the surgical skills necessary to successfully perform lower extremity reconstruction and spinal deformity correction in these complex patients.”

—MARK CAMP

“Working with me, fellows will learn a contemporary approach to benign and malignant tumours, as well as to brachial plexus birth palsy. They will practice dissection skills, perform intralesional and wide resection, and undertake reconstruction using biologic and endoprosthetic techniques specific to children.”

—SEVAN HOPYAN

“I operate on all regions of the axial and appendicular skeleton, both acutely and for reconstruction or deformity correction. Deformities from trauma, osteogenesis imperfecta and skeletal dysplasias form a large part of my elective practice. When working with me the fellow will teach the residents how to operate on common fractures, and will learn to operate on complex fractures and deformities.”

—ANDREW HOWARD

“When working with me fellows will learn how to safely and efficiently treat complex spinal deformities, to understand and analyse three dimensional aspects of scoliotic deformity. They will also acquire the technical skills to carry out successful spinal deformity correction.”

—REINHARD ZELLER

 
 

Faculty

 
 
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Andrew Howard MD, FRCSC, MSc

Paediatric Orthopaedic Surgeon; Head, Division of Paediatric Orthopaedics; Professor, Department of Surgery, University of Toronto; Senior Scientist, SickKids Research Institute; Director, Office of International Surgery, University of Toronto

Bio

From: High Prairie, AB, Canada
Medicine: Queen’s University, Kingston
Residency: Queen’s University, Kingston
Graduate: University of Ottawa

Fellowship

Paediatric Orthopaedics:
The Hospital for Sick Children, Toronto

Clinical Practice

Skeletal dysplasias, Childhood osteoporosis, Lower extremity deformity, Spinal deformity, and Complex trauma

Research

Injury prevention; International surgery; Clinical epidemiology

 
 
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Reinhard Zeller MD, FRCSC

Paediatric Orthopaedic Surgeon; Head, Spine Program; Associate Professor, Department of Surgery, University of Toronto

Bio

From: Paris, France
Medicine: University of Paris
Residency: University Hospitals of Paris

Fellowship

Paediatric Spine Surgery:
Saint Vincent de Paul Hospital, Paris, France

Paediatric Orthopaedics:
Texas Scottish Rite Hospital for Children, Dallas, Texas

Clinical Practice

Complex spine surgery in children, Early onset and late onset scoliosis, Complex congenital scoliosis, and High grade spondylolisthesis

Research

Spine deformity correction outcomes; 3D spinal deformity analysis

 
 
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Simon Kelley MBChB, PhD, FRCS (TR AND ORTH)

Paediatric Orthopaedic Surgeon; Associate Professor, Department of Surgery; University of Toronto; Director, Fellowship Program

Bio

From: Bath, UK
Medicine: University of Birmingham, UK
Residency: Leeds and Bristol, UK
Graduate: University of Toronto

Fellowship

Limb Reconstruction:
The Royal Children’s Hospital, Melbourne, Australia

Trans-Canada Paediatric Orthopaedics:
The Hospital for Sick Children, Toronto
Shriners Hospital for Children, Montreal
BC Children’s Hospital, Vancouver

Clinical Practice

Congenital limb deficiencies, Hip surgery, Skeletal dysplasias, Post-traumatic limb deformity, and Trauma

Research

Hip dysplasia outcomes; Education and protocol development; Limb reconstruction outcomes; Bone regeneration

 
 
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Sevan Hopyan MD, PhD, FRCSC

Paediatric Orthopaedic Surgeon; Associate Professor, Department of Molecular Genetics and Department of Surgery, University of Toronto; Senior Scientist, Program in Developmental and Cell Biology, SickKids Research Institute

Bio

From: Toronto, Canada
Medicine: University of Toronto
Residency: University of Toronto
Graduate: University of Toronto

Fellowship

Paediatric Orthopaedics:
The Royal Children’s Hospital, Melbourne, Australia

Orthopaedic Oncology:
St. Vincent’s Hospital and Peter MacCallum Cancer Centre, Melbourne, Australia

Clinical Practice

Orthopaedic oncology, Brachial plexus palsy sequela reconstruction and Congenital anomalies

Research

Early limb bud development; Limb salvage outcomes; Upper extremity outcomes

 
 
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Mark Camp MD, MSc (BIOETHICS), FRCSC

Paediatric Orthopaedic Surgeon; Assistant Professor, Department of Surgery, University of Toronto

Bio

From: Gaborone, Botswana
Medicine: Queen’s University, Kingston
Residency: University of Toronto
Graduate: University of Toronto

Fellowship

Paediatric Orthopaedics:
Royal Children’s Hospital, Melbourne, Australia

Clinical Practice

Lower extremity surgical management of children with cerebral palsy Neuromuscular spine surgery Pediatric Orthopaedic Trauma

Research

Surgical ethics; Pediatric fracture management; Undergraduate and postgraduate medical education in bioethics

 
 
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Unni G. Narayanan MBBS, MSc, FRCSC

Paediatric Orthopaedic Surgeon; Associate Professor, Department of Surgery, University of Toronto; Senior Scientist, Bloorview Research Institute

Bio

From: Madras, India
Medicine: Madras Medical College, India
Residency:  University of Minnesota, Minneapolis
Graduate: University of Toronto

Fellowship

Cerebral Palsy and Gait Analysis:
Gillette Children’s Hospital
University of Minnesota, St. Paul, MN, USA.

Paediatric Orthopaedics:
The Hospital for Sick Children, Toronto

Clinical Practice

Lower limb length discrepancy and complex deformity correction Clubfeet and other foot disorders

Research

Patient Priorities and Outcome Measurement; Clinical Trials and Epidemiology; Outcomes Research

 
 
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Lucas Murnaghan MD, MEd, FRCSC

Paediatric Orthopaedic Surgeon; Sports Medicine and Arthroscopy; Assistant Professor, Department of Surgery, University of Toronto; Divisional Clinical Fellowship Coordinator, Division of Orthopaedics, University of Toronto

Bio

From: Ottawa, Canada
Medicine: Queen’s University, Kingston
Residency: University of Toronto
Graduate: University of British Columbia

Fellowship

Arthroscopy and Athletic Injuries:
University of British Columbia

Paediatric Orthopaedics:
The Royal Children’s Hospital, Melbourne, Australia
Texas Scottish Rite Hospital for Children, Dallas, Texas

Clinical Practice

Sports medicine and arthroscopy in children and young adults, Paediatric orthopaedics and Trauma

Research

Surgical education; Children’s minimally invasive surgery outcomes

 
 
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Stephen Lewis MD, MSc, FRCSC

Paediatric Orthopaedic Surgeon; Associate Professor, Department of Surgery, University of Toronto

Bio

From: Montreal, Canada
Medicine: McGill University, Montreal
Residency: University of Toronto
Graduate: University of Toronto

Fellowship

Adult Spine and Trauma:
St. Michael’s Hospital, Toronto

Spinal Deformity:
Washington University, St. Louis

Clinical Practice

Spinal deformity in children and young adults, High grade spondylolisthesis, Complex congenital scoliosis, and Spinal osteotomies

Research

Spine deformity correction outcomes; Surgical skill acquisition; Spinal deformity analysis

 
 
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David Lebel MD, PhD

Pediatric Orthopaedic Surgeon; Assistant Professor, Department of Surgery, University of Toronto

Bio

From: Tel-Aviv, Israel
Medicine: Ben-Gurion University of Negev, Beer Sheva, Israel
Residency: Soroka Medical Center, Beer Sheva; Ben-Gurion University of Negev, Beer Sheva, Israel
Graduate: Ben-Gurion University of Negev, Beer Sheva, Israel

Fellowships

Paediatric Orthopaedics
The Hospital for Sick Children, Toronto; Dana-Dewek Children’s Hospital, Tel Aviv, Israel

Clinical Practice

Pediatric spine deformity, Adolescent idiopathic scoliosis, Early onset scoliosis, Congenital spine anomalies, Complex spine deformities associated with rare disease

Research

Non-operative treatment of early onset scoliosis; Quality improvement (post-operative bundle of care development); Inflammatory process behind scoliosis

 
 
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Maryse Bouchard MD, MSc, FRCSC

Paediatric Orthopaedic Surgeon; Assistant Professor, Department of Surgery, University of Toronto

Bio

From: Hemmingford, QC, Canada
Medicine: McGill University, Montreal 
Residency: University of Toronto
Graduate: University of Toronto

Fellowships: 

Adult foot and ankle:
St. Michael’s Hospital, Toronto

Pediatric orthopedic surgery:
Seattle Children's Hospital, Seattle

Limb reconstruction:
The Royal Children’s Hospital, Melbourne, Australia

Clinical Practice

Foot and ankle surgery, Limb deformity and limb length discrepancies, Skeletal dysplasias, Trauma, and Global outreach

Research

Outcomes research (clubfoot, foot and ankle, lower extremity deformity, dysplasias); Quality improvement (standardization of care, cost analyses); Global health (outcomes, education)

 

Allied Health Practitioners

 
 
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Natasha Bath is a Nurse Practitioner (Pediatrics) who supports the spine program working closely with the in-patient floor for the pre and post-op care of patients with spinal deformity.

 
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Catharine Bradley is a Physiotherapist Practitioner who co-supervises the baby hip clinic with Dr. Kelley and provides additional support for the limb reconstruction service. Catharine is active in research and contributes to the hip and limb reconstruction team’s academic pursuits.

 
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Jenn Dermott is a Physiotherapist Practitioner who supervises the non-operative scoliosis and casting clinic, and is also active in research with the spine team

 
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Barb Harvey is an Advanced Practice Physiotherapist who supervises the clubfoot clinic and provides Ponsetti casting training to clinical fellows and residents.

 
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Anne Murphy is a Nurse Practitioner who supervises fracture clinic, develops fracture care pathways, and in addition supports the weekly bone health clinic.

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Stacy Robitaille is an Advanced Practice Physiotherapist who supervises the clubfoot clinic and provides Ponsetti casting training to clinical fellows and residents.

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The SickKids Registered Orthopaedic Technologists are a team comprising of Derek Gauthier, Kimberly Ocquaye, Kira Mahoney, Catherine Skrabec and Samantha Webster. The orthopaedic technologists are responsible for all casting (application, adjustments and removal) and traction of orthopaedic patients seen in fracture and elective clinics as well as in the operating room.

 
 
 

Administrators

 
 
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Julianne Godden is the Manager of Business Operations of Perioperative Services, including the Division of Orthopaedics here at SickKids. Julianne manages the human resource needs of the Division for all admin, research staff and trainees, while also managing the Division's complex clinical schedules and finances.

 
 

Recent Faculty Publications

 
 

Expert-Based Consensus on the Principles of Pavlik Harness Management of Developmental Dysplasia of the Hip

Kelley SP, Feeney MM, Maddock CL, Murnaghan ML, Bradley CS, on behalf of the International Hip Dysplasia Institute (IHDI) Study Group
JBJS Open Access. 2019 Oct-Dec;4(4):e0054 

 

Informal regionalization of pediatric fracture care in the Greater Toronto Area: a retrospective cross-sectional study.

Pincus D, Morrison S, Gargan MF, Camp MW.
CMAJ Open. 2017 Jun 14;5(2):E468-E475

 

Reliability of Radiographic Assessments of the Hip in Cerebral Palsy.

Shore BJ, Martinkevich P, Riazi M, Baird E, Encisa C, Willoughby K, Narayanan UG; CHOP Investigative Team.
J Pediatr Orthop. 2019 Aug;39(7):e536-e541

 

Early morbidity associated with fasciotomies for acute compartment syndrome in children

K. B. L. Lim, T. Laine, J. Y. Chooi, W. K. Lye, B. J. Y. Lee, U. G. Narayanan
J Child Orthop. 2018 Oct 1; 12(5): 480–487

 

Risk of recurrent fracture: a population-based study

BG Escott, T To, DE Beaton, AW Howard
Pediatrics. 2019 Aug;144(2)

 

Closed Wound Subfascial Suction Drainage in Posterior Fusion Surgery for Adolescent Idiopathic Scoliosis: A Prospective Randomized Control Study.

Ovadia D, Drexler M, Kramer M, Herman A, Lebel DE.
Spine (Phila Pa 1976). 2019 Mar 15;44(6):377-383

The Pediatric Toronto Extremity Salvage Score (pTESS): Validation of a Self-reported Functional Outcomes Tool for Children with Extremity Tumors.

Piscione J, Barden W, Barry J, Malkin A, Roy T, Sueyoshi T, Mazil K, Salomon S, Dandachli F, Griffin A, Saint-Yves H, Giuliano P, Gupta A, Ferguson P, Scheinemann K, Ghert M, Turcotte RE, Lafay-Cousin L, Werier J, Strahlendorf C, Isler M, Mottard S, Afzal S, Anderson ME, Hopyan S.
Clin Orthop Relat Res. 2019 Sep;477(9):2127-2141

 

Staged insertion of growing rods in severe scoliosis.

Schelfaut S, Dermott JA, Zeller R.
Eur Spine J. 2018 Sep;27(9):2203-2212

 

Responding to Intraoperative Neuromonitoring Changes During Pediatric Coronal Spinal Deformity Surgery.

Lewis SJ, Wong IHY, Strantzas S, Holmes LM, Vreugdenhil I, Bensky H, Nielsen CJ, Zeller R, Lebel DE, de Kleuver M, Germscheid N, Alanay A, Berven S, Cheung KMC, Ito M, Polly DW, Shaffrey CI, Qiu Y, Lenke LG.
Global Spine J. 2019 May;9(1 Suppl):15S-21S

 

The Orthopaedic Trauma Patient Experience: A Qualitative Case Study of Orthopaedic Trauma Patients in Uganda

O'Hara NN, Mugarura R, Slobogean GP, Bouchard M.
PLoS One. 2014;9(10):e110940.

 

Spatial distribution of pedestrian-motor vehicle collisions before and after pedestrian countdown signal installation in Toronto, Canada.

Rothman L, Cloutier MS, Macpherson AK, Richmond SA, Howard AW.
Inj Prev. 2019 Apr;25(2):110-115

 

Oscillatory cortical forces promote three dimensional cell intercalations that shape the murine mandibular arch.

Tao H, Zhu M, Lau K, Whitley OKW, Samani M, Xiao X, Chen XX, Hahn NA, Liu W, Valencia M, Wu M, Wang X, Fenelon KD, Pasiliao CC, Hu D, Wu J, Spring S, Ferguson J, Karuna EP, Henkelman RM, Dunn A, Huang H, Ho HH, Atit R, Goyal S, Sun Y, Hopyan S.
Nat Commun. 2019 Apr 12;10(1):1703