Children's orthopaedic service (bones and muscles)
Our Children’s Orthopaedic Service is provided by experienced paediatric orthopaedic surgeons and their team, based at the RD&E.
We aim to provide the best possible care for children and their families, communicating with you at every step of the way and providing any treatment close to home.
More on what we do
Our services are supported by a paediatric team made up of specialist doctors, nurses and other healthcare professionals.
Our therapists play an important part in getting children back up on their feet and recovering after surgery.
Our anaesthetic doctors are specially trained to deal with keeping children safe and comfortable around the time of their operation.
We have a dedicated high-dependency unit for children that might need a bit more support following an injury or operation.
We run consultant-led outpatient clinics for general orthopaedics, as well as specific clinics for hip dysplasia, Ponseti talipes treatment, minor childhood ailments, complex neuro-disability and scoliosis.
We have dedicated children’s orthopaedic and spinal theatres, as well as paediatric surgical beds, including an adolescent unit and paediatric high dependency unit.
Children who need surgery attend a nurse led pre-assessment clinic.
The hospital also has paediatric intensive care beds.
We treat a range of children’s orthopaedic disorders, including:
- Cerebral palsy: we help with conditions of the joints and muscles which can be affected by cerebral palsy
- Foot disorders, including talipes (club foot), foot deformity and painful flatfoot
- Knee disorders including osteochondral defects and meniscal injury
- Developmental and blood supply problems of the hip (developmental Dysplasia & Perthes disease)
- Children’s spinal disease and scoliosis
- Limb length discrepancy, growth disturbances and deformity correction
- Minor ailments, including bow legs, knock knees, in-toeing, out-toeing, curly toes, flatfeet, toe walking
- Fractures and trauma
- Bone and joint infections
We have a specialist team of surgeons, anaesthetists, nurses and physiotherapists who all focus on the care of children in our clinics, operating theatres and wards.
The consultant team:
- Mr Peter Cox Lead Paediatric Orthopaedic Surgeon
- Mr Guy Wansbrough Paediatric Orthopaedic Surgeon
- Mr Andrew Clarke Consultant Spinal Surgeon
- Mr Oliver Stokes Consultant Spinal Surgeon
- Mr Mike Anderton Consultant Spinal Surgeon
- Dr Phillipa Dix Consultant Paediatric Anaesthetist
- Dr Tom Martin Consultant Paediatric Anaesthetist
Our consultant team is supported by an experienced paediatric orthopaedic physiotherapist, aftercare physiotherapy team, hip ultrasonographer, childrens orthotists, paediatric nurses.
The paediatric orthopaedic service works closely with paediatricians, neurodevelopmental physiotherapists and orthotists to provide multidisciplinary care through clinics held in Vranch House, a school for children with neuro-disability in Exeter.
Where to find us
RD&E Wonford, Barrack Rd, Exeter EX2 5DW
Princess Elizabeth Orthopaedic Centre
If you want to get in touch with the department, please contact:
Paediatric contact secretary: 01392 403564
You can also contact our consultants' secretaries:
Mr Cox, secretary: 01392 403564
Mr Wansbrough, secretary: 01392 403564
Mr Clarke, secretary: 01392 506352
Mr Stokes, secretary: 01392 404728
Mr Anderton, secretary: 01392 403747
Dr Dix, secretary: 01392 402474
Dr Martin, secretary: 01392 402474
Patient leaflets and documents
Children and young people
Referral to specialist centres is often required for children with the following problems:
- Complex gait disorders requiring gait analysis
- Limb lengthening with complex deformity
- Adolescent/young adults requiring corrective pelvic osteotomies
- Skeletal dysplasia and rare syndromes
- Peripheral nerve injury
Multidisciplinary cerebral palsy clinic
Run at Vranch House by a consultant orthopaedic surgeon, consultant paediatrician and senior physiotherapists with an interest in cerebral palsy. They assess the ongoing and future management of patients with CP, from surgery to community support.
Developmental Dysplasia of the Hip (DDH) clinic
Run by a consultant orthopaedic surgeon, senior ultrasonographer and aftercare physiotherapist. It is for babies and infants with suspected DDH. Patients will have an examination and ultrasound of their hips. Pavlik harness treatment can be instigated and supervised if required.
Congenital Talipes Equinovarus (CTEV) Clinic
Run by a consultant orthopaedic surgeon and senior aftercare physiotherapists. The clinic is for the assessment and treatment of congenital foot deformities. The Ponseti method will be used if appropriate.
Minor Ailment clinic
Run by an experienced children’s physiotherapist with consultant support. For patients with common minor ailments that affect children at different ages. eg disorders of gait , in-toeing, out-toeing, flat feet, knock knees, bow legs, toe-walking, limb pain in the growing child.
General children’s orthopaedic clinic
Run by our children’s orthopaedic surgeons and supported by paediatric nurses and aftercare physiotherapist. It caters for the whole spectrum of children’s orthopaedics. There is a dedicated x-ray facility, treatment rooms, and waiting area for children and their families.
Care is provided through attendance at the RD&E fracture clinic by one of 12 experienced trauma surgeons, supported by plaster technicians and physiotherapists.
Consultant-provided care and assessment for children with curvatures of the spine (scoliosis) and supported by spinal physiotherapists. Our consultant surgeons also run peripheral clinics for children with scoliosis in other hospitals throughout the Southwest peninsula.