Modeled after an internal consultation distribution, the Winnipeg Regional Health Authority (WRHA) launched a common referral intake process to centralize all of the incoming consultation requests for hip and knee arthroplasty. The consult requests are then distributed to the community or academic arthroplasty with the shortest wait for both consultation and surgery.
The Implant Retreival and Analysis Lab and analytical equipment of the Orthopaedic Innovation Centre (OIC) have been busy with heavy use from both engineers and clinicals alike. The OIC at the Concordia Hip and Knee Institute (CHKI) is a not-for-profit corporation that works with the Concordia Joint Replacment Group Arthroplasty Surgeons to support musculoskeletal medical device innovation in Manitoba by providing biomedical engineering, medical device consulting services, product testing, validation, contract reserach and small-scale 3D additive manfacturing solutions. The OIC aims to create novel medical technoogies in a collaborative and multidisciplinary environment that can be eventually licensed to new or existing companies for commercialization and global distribution.
The Concordia Joint Replacement Group (CJRG) experiences clinical and academic success.
Operation Walk Winnipeg, working in co-operation with Concordia Foundation began in 2012 to a developing country. Operation Walk was first started a decade ago by Dr. Larry Dorr, a prominent surgeon in Los Angeles. Since that time, Operation Walk has mentored teams to provide life-changing joint replacement surgery to patients in the developing world whose families are too poor to afford the cost of the procedure.
Diabetic Foot Program
The Diabetic Foot is a multidisciplinary sub-specialty in medicine that is now gaining increased demand in North America. The Diabetic Foot Service provides patient care to patient with a range of conditions from complex diabetic mellitus conditions to ulcers and Charcot foot complications.
This multidisciplinary focus in the Diabetic Foot Service program combines the disciplines of infectious disease, vascular surgery and plastic surgery to provide the best possible care for patients with diabetes mellitus. The team is currently continuing its collaborative research efforts across all the multidisciplinary specialties to continue to investigate the connection betwen diabetic foot complications and depressions, how to target deceased dialysis complications, and how to target diabetic nerve damage in feet at an earlier stage of disease.
Foot & Ankle Program
Dr. Heather Barske and Dr. Allan Hammond have specialized adult practices in this Orthopaedic subspecialty. The Trauma Program also covers adult foot/ankle practice at Health Sciences Centre. Paediatric surgery practice is covered by the Orthopaedic Paediatric group. The team provides expert treatment for elective and post-traumatic reconstruction of the ankle, hind foot, midfoot and forefoot including ankle fusions and total ankle arthroplasty surgery.
Orthopaedic Paediatric Program
The Paediatric Orthopaedic Surgery Service is based at the Health Sciences Centre Children's Hospital. We provide expert care for a wide range of musculoskeletal disorders affecting children from newborn to 16 years of age. These include congenital, acquired and traumatic musculokeletal conditions. The service is led by a team of dedicated paediatric orthopaedic surgeons and we continue to grow as a section and are currently providing specialist care to more patients than ever before. By the 2012 year end, surgeries increased by 8.4% and clinical visits by 13.3%. Our catchment area covers the whole of Manitoba as well as northwestern Ontario and Nunavut, a population of approximately 1.2 million.
By being the only paediatric centre to cover this diverse area, we are uniquely placed to study rare and interesting conditions, such as multiple hereditary exostosis and rare metabolic conditions. Our position also allows us to study trends in children's trauma and raise awareness of, and effect change in, injury prevention.
Dr Michael Goytan is the head of this program, which is a national leader in the development and utilization of minimally invasive surgical procedures.
The Program includes a team of surgeons, nurses, physiotherapists and occupational therapists specializing in the effective treatment of the spine. They treat degenerative, developmental, inflammatory, traumatic and cancerous spinal disorders in adults and children. The Winnipeg Spine Program was established in February 2003. It is the only proram of its kind between Toronto and Calgary.
With the assistance of innovative technology - MRI, CT and specialized operating room equiprment Dr. Goytan and his team have the expertise in key areas such as anaesthesiology, physiotherapy, rheumatology, neurosurgery, nursing and neuromonitoring.
Sports Medicine and Upper Extremity
Currently five orthopaedic surgeons provide Sports Medicine and Upper Extremity surgery services at the Pan Am Clinic and the Concordia Hospital for the Department of Surgery,
Partnership and collaboration with the Pan Am Clinic Foundation continue to build on our commitment to research and education. Surgeons and researchers have a unique opportunity at the Pan Am Clinic in that patients can be followed from their first visit through their follow-up visits documenting outcomes of their diagnostic tests, surgical procedures and rehabilitation. This approach gives the researchers the opportunity to conduct comprehensive studies to evaluate and monitor patient quality of life with the aim of providing the best possible care according to objective and subjective performance measures.
Initiatives such as the Pan Am Clinic Research Centre enhance the Centre's universal recognition as a leader in innovation in bone and joint care and research.
The adult Orthopaedic service at Health Sciences Centre (HSC) provides expert care for patients with severe musculoskeletal injuries and related complications. The service is a regional resource for physicians challenged by complex orthopaedic trauma cases. Complex foot and ankle is also done at HSC. The service also provides coverage for non-trauma cases such as musculoskeletal infections, tumours and amputations.
Aside from clinical work the group has many academic ativities. The group teaches at many levels, especially with our presence at the Bannatyne Campus of the University of Manitoba. Teaching is done at undergraduate and postgraduate levels along with physician assistants (University of Manitoba and military students) who also rotate through this program.