Pediatric Orthopedics

Stony Brook Medicine

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    Overview Combining clinical excellence, 24/7 access to pediatric orthopedic surgeons, and leading-edge research and protocols, the Department of Pediatric Orthopedics at Stony Brook Children's is the premiere resource for children in Suffolk County with orthopedic (bone) problems. It is often the first and only stop for parents aware of Stony Brook's capabilities, and it is the place where other area hospitals typically send their most complex and difficult cases.

    Not only do our fellowship-trained orthopedic surgeons deliver coordinated and comprehensive medical and surgical pediatric orthopedic services, but they are on the forefront of medicine, performing the first internal skeletal kinetic distractor procedure (ISKD) in the world on the humerus, the results of which were recently presented at a national meeting of orthopedic physicians. This pioneering limb lengthening procedure, like so much of the work at Stony Brook Children's, has the potential to advance the practice of pediatric medicine—and offer the children of Long Island round the clock access to world class care.

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    Our Team Our team is led by three fellowship-trained pediatric orthopedic surgeons — James Barsi, MD, Wesley Carrion, MD, and David Wallach, MD — who have the training and experience to handle every aspect of pediatric orthopedic conditions, whether congenital or acquired. The team also includes two registered pediatric physician assistants.

    In addition, the team works closely with other departments at the hospital, including the Pediatric Emergency Department, Pediatric Neurosurgery, the Pediatric Intensive Care Unit (PICU), Pediatric Oncology, Pediatric Plastic Surgery, as well as with hand surgeons and other pediatric surgeons, to provide state-of-the-art care for multiple injuries or complex disabilities.

    Meet Our Physicians Wesley Carrion, MD - Division Chief
    James Barsi, MD
    Fazel Khan, MD
    David Wallach, MD

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    Services Pediatric orthopedic services are available on an inpatient and outpatient basis. The doctors see patients at clinics in St. Charles and Nassau, as well as at the Pediatric Emergency Department at Stony Brook Children's. Surgery is performed at Stony Brook Children's.

    The Department's capabilities include state-of-the-art diagnostics and surgery, and run the full gamut from treatment of simple fractures to delicate spinal surgery. Some of the conditions treated include spinal deformity, joint reconstruction, trauma, club foot, developmental deformity, degenerated and herniated discs, sports injuries, limb lengthening, scoliosis and many others.

    State-of-the-Art Diagnostics The Department has access to the latest diagnostic techniques, which help deliver safer, faster, and more accurate imaging — with special attention to using the lowest doses of radiation possible. Techniques available include:

    • Minimally invasive CT-guided biopsy
    • X-ray
    • CT scan
    • MRI
    • Nuclear medicine

    Surgery Whenever possible, we use the most minimally invasive techniques possible, employing video-assisted surgical technology. Some of the procedures we specialize in include:

    • Video-assisted hip reconstruction
    • Thoracopy
    • Multiple trauma surgery
    • Repair of developmental deformities
    • Scoliosis surgery
    • Limb lengthening/Ilizarov surgery

    In the case of scoliosis surgery, we have helped pioneer a unique anesthesia protocol for pain control that gets the patient out of the hospital, on average, two days earlier.

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    Patient Resources As part of our comprehensive, full spectrum approach to pediatric orthopedic care, we have developed a working relationship with St. Charles Hospital in Port Jefferson for patients who need rehabilitation. We continue to follow the patients, but we work in tandem with this rehabilitation program, which offers a team consisting of: a physiatrist (a physician specializing in physical medicine and rehabilitation), nurses, therapists (physical, occupational, respiratory and recreational), speech language pathologists, neuropsychologists,, audiologists, clinical dietitians, orthotists/prosthetists, care managers and social workers.

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    Research and Education As an academic medical center, Stony Brook Children's has the privilege of training the next generation of physicians — something that also brings many benefits to hospital patients including access to the latest protocols and procedures as well as to some of the best minds in medicine. Twelve residents a year are trained at Stony Brook in pediatric orthopedic medicine, many of whom go on to receive national attention for the clinical and research achievements.

    Currently, the Department is dedicating its research efforts to scoliosis and limb lengthening.

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    Advances and Recognitions Coming soon.

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