About This Program
CMH's Fracture Clinic provides consultation, fracture management (including casting and splinting) and surgical follow-up care for all age groups.
Patients are referred to the clinic after a visit to the Emergency Department visit, after surgery or as new consultations. The Fracture Clinic team also includes orthopedic and plastic surgeons that specialize in treating hand injuries.
Fracture Clinic Hours are Monday to Friday 8:00 am – 4:00 pm. *
Hand Clinic Hours are Mondays 2:00 pm - 5:00 pm, Tuesdays 4:00 pm -7:00 pm, and Fridays 8:00 am - 4:00 pm. *
* excluding holidays
Osteoporosis Screening Program
Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue. This makes bones more fragile and increases the risk of fracture (broken bones), especially in the hip, spine, wrist and shoulder.
CMH works in partnership with Osteoporosis Canada to provide screening at the time of your fracture clinic appointment. The screening will help to determine if you are at risk of 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.
If you are over 50 years of age and you present to the CMH Fracture Clinic with a fracture, you will be assessed by the coordinator.
What I Need to Know
Please bring any personal assistive devices that you require for your appointment. For example, any communication or mobility device you may need like a walker, hearing aid, etc.
Why am I waiting?
- 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 are some patients 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 OHIP cover all my care costs?
Not all equipment and supplies are covered by OHIP. Some things that are not covered include wrist splints, air casts, and fiber glass casts. Your extended health care coverage (private insurance) may pay for these. The Orthopedic Technologist will provide you with a detailed bill for those items that are not covered.
How to use crutches, canes and walkers
Caring for your cast and splint
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.