About This Program
The CMH Fracture Clinic provides consultation, fracture management (including casting and splinting), and surgical follow-up care for all age groups.
Patients are referred post-Emergency Department visit, post-surgery or as new consultations. The physician groups supporting the fracture clinic include orthopedic surgeons, and plastic surgeons who see and treat hand injuries.
Fracture Clinic Hours are Monday to Friday (excluding statutory holidays) 08 am – 4pm.
Hand Clinic Hours are Mondays 2 - 5 pm, Tuesdays 4 -7 pm, and Fridays 8 - 4pm.
OSTEOPOROSIS SCREENING PROGRAM
Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue. This leads to increased bone fragility and risk of fracture (broken bones), particularly of the hip, spine, wrist and shoulder.
CMH works in partnership with Osteoporosis Canada to provide screening at the time of fracture clinic appointments. The screening will assist in determining those at risk for osteoporosis and future fractures. A Fracture Prevention Coordinator will work with your family practitioner to support further diagnostic testing and/or treatment if it is required. All men and women over 50 years of age who present to the CMH Fracture Clinic with a fracture will be assessed for risk factors by the coordinator.
WHY DO I WAIT?
- Some patients may take longer to treat than others
- The surgeon may be delayed
- Ambulance patients are cared for first
- You should allow 3 hours for your visit, registration, x-rays, seeing the surgeon, etc.
- The time you are given to check in may not reflect the time you are going to be seen by the surgeon.
WHY DO SOME PATIENTS GET CALLED BEFORE ME?
- Some patients are called for another surgeon
- Some patients are called for x-rays
- Some patients are called to receive treatment by the Orthopedic Technologist
- We do our best to keep all patients’ charts in order, so they are cared for in order.
DOES O.H.I.P COVER ALL COSTS?
Not all equipment or supplies are covered by OHIP. Some examples are wrist splints, air casts, and fiber glass casts. Your extended health care coverage may pay for these. You will receive a bill from the Orthopedic Technologist before you leave.
CAST AND SPLINT CARE
You have received a cast or splint as part of your treatment for the injury you sustained. The following is general information and specific things you need to do to help in your recovery. if you have any concerns at all, call your orthopedic/plastic surgeon, or your family doctor, or return to the nearest emergency department for assessment.
- Plaster casts will take 48 hours to dry completely.
- A certain amount of swelling and pain may occur. To keep swelling and pain to a minimum, elevate the injured part on a pillow, above the level of your heart.
- Keep the cast clean and dry. Do not get the cast wet. Do not scratch under the cast. Using a hairdryer set on COOL aimed into the cast can sometimes relieve itching.
- Do not place anything inside the cast.
- Exercise your fingers/toes of the casted arm/leg every half hour while awake, unless your doctor tells you otherwise.
- Bathing: Cover the cast with a plastic bag and tape it shut if possible. If this is not possible, the arm/leg with the cast must be kept dry, and this may require the affected arm/leg be kept out of the tub/shower.
- Notify your surgeon/family doctor if:
- Your fingers or toes on the casted arm/leg become blue, cold, numb, or extremely swollen
- You experience increased pain not relieved by pain medication
- The cast becomes soft, cracked, foul smelling or feels too tight.
WATER PROOF CAST CARE
HOW TO USE CRUTCHES, CANES, AND WALKERS