Division of Orthopaedics

The Division of Orthopaedics at CHOP is one of the largest and most active pediatric orthopaedic centers in the world. The division provides a full range of services, with a special focus on the most complex musculoskeletal disorders, such as cerebral palsy, cancer and rare genetic conditions. Each year, more than 3,000 children receive individualized, compassionate care from CHOP’s orthopaedic team.

Specialized clinical programs

  • Bone and Soft Tissue Tumor
  • Brachial Plexus
  • Cerebral Palsy
  • Foot and Ankle Disorders
  • Hand and Arm Disorders
  • Hip Disorders
  • Limb Deformity Program
  • Neuromuscular
  • Orthopaedic Trauma
  • Spine Disorders
  • Sports Medicine and Performance
  • Thoracic Insufficiency Syndrome

Conditions treated

We treat all types of orthopaedic conditions, including:

  • Aneurysmal bone cysts
  • Avascular necrosis
  • Beckwith-Wiedemann syndrome
  • Bone metastasis
  • Diastrophic dysplasia
  • Fibrous dysplasia
  • Goldenhar syndrome
  • Klippel-Feil syndrome
  • Langerhans cell histiocytosis
  • Larsen syndrome
  • Morquio syndrome
  • Muscular dystrophy
  • Osteogenesis imperfecta
  • Spasticity
  • Spinal muscular atrophy
  • Thoracic insufficiency syndrome — VEPTR expansion

Spine disorders

  • Idiopathic congenital scoliosis
  • Spina bifida disorders

Tumors: benign

  • Chondroblastoma
  • Chondromyxoid fibroma
  • Endochondroma
  • Giant cell tumor of bone
  • Osteoblastoma

Tumors: malignant

  • Chondrosarcoma
  • Desmoid tumors
  • Ewing sarcoma
  • Osteosarcoma
  • Rhabdomyosarcoma

Bone and Soft Tissue Tumor Program

Bone and soft tissue tumors are complex and can be difficult to diagnose. There are also many treatment options available, and some children will need a combination of these therapies. Whether your child has a benign tumor or malignant tumor (also called a sarcoma), or you’re seeking a second opinion after a recent diagnosis, the experts at the Bone and Soft Tissue Tumor Program at CHOP will provide your family with personalized care. Our team approach to treatment means specialists from several areas collaborate in the care of each and every patient to provide your family with the best possible outcome.

Children’s Hospital of Philadelphia has a long history of providing outstanding care for children and adolescents with both benign and malignant tumors of the bones and soft tissues. Our highly skilled doctors have the training and experience needed to perform complex and advanced procedures when necessary.

Spine Program

The Spine Program at Children's Hospital of Philadelphia is one of the largest multidisciplinary programs in the world dedicated to the diagnosis and treatment of pediatric spine conditions.

CHOP’s Spine Program provides comprehensive evaluation and treatment to thousands of babies, children and teenagers with spinal deformities, trauma-related spinal conditions, benign and malignant musculoskeletal tumors, genetic cervical spine conditions and other conditions that affect the spine.

Center for Thoracic Insufficiency Syndrome

Thoracic insufficiency syndrome (TIS) is a complex condition involving chest wall deformities that affect normal breathing and lung growth. Children with TIS are born with a variety of genetic disorders that cause spine and rib cage differences. These congenital deformities can limit a child’s respiration to such an extent that he becomes ventilator dependent.

The Center for Thoracic Insufficiency Syndrome at CHOP provides the highest level of multispecialty medical and surgical care in the world for children with thoracic insufficiency syndrome. The center is dedicated to improving care, advancing research and developing long-term treatments for children with TIS. The center’s director invented the vertical expandable prosthetic titanium rib (VEPTR), the only FDA-approved device to treat TIS, and performs more than 200 VEPTR and other growth-sparing surgeries a year.

Center staff include orthopaedic surgeons and a coordinated team of other specialists from general surgery, pulmonology, intensive care, bioengineering and radiology. The program’s multidisciplinary approach ensures excellent patient care and promotes the development of improved medical and surgical treatments for TIS.

Limb Deformity Program

The care of children with limb length differences and limb deformities is complex. As a child grows and changes, so does the deformity — exaggerating the difference in length or an abnormal bend or rotation of the arm or leg. The experts of the Limb Deformity Program at Children’s Hospital of Philadelphia understand these complexities. They provide expert assessment of your child's congenital or acquired deformity of the leg, arm, hip, foot or hand; predict changes as he grows; and offer surgical treatment options.

The Limb Deformity team uses the most cutting-edge diagnostic tools to plan for your child’s care. Our team will use the EOS Imaging System to assess your child’s condition. EOS is a low-dose, 3-D imaging system that scans your child standing up. An EOS scan shows us your child's natural, weight-bearing posture and allows us to see the interaction between the joints and the rest of the musculoskeletal system, particularly the spine, hips and legs. This provides us with the most accurate view of the musculoskeletal system, which is essential for proper diagnosis and personalized treatment planning.

Hip Disorders Program

The Hip Disorders Program at Children's Hospital of Philadelphia specializes in diagnosis, treatment, and long-term follow-up for infants, children, teens and young adults with congenital, developmental and post-traumatic hip disorders.

Whether your child is a premature infant with a congenital hip deformity, a teen with a newly-developed hip problem, or a young adult with lingering effects of pediatric hip disease, our specially trained orthopaedic team has the expertise and experience needed to produce the best outcomes.

Featured Faculty

Alexandre Arkader, MDAlexandre Arkader, MD

Alexandre Arkader, MD, is an Attending Surgeon in the Division of Orthopaedics and Division of Oncology specializing in the treatment of bone and soft tissue tumors.

Areas of expertise: Benign and malignant bone and soft tissue tumors, complex trauma/pediatric fractures, leg length discrepancy/angular deformities, limb salvage surgery, sarcomas, limb deformity, bone tumors

Robert Campbell Jr., MDRobert Campbell Jr., MD

Robert M. Campbell Jr., MD, is Director of the Center for Thoracic Insufficiency Syndrome (CTIS) and an Attending Physician in the Division of Orthopaedic Surgery.

Areas of expertise: Chest wall and spine deformity, congenital scoliosis, general pediatric orthopaedic surgery, neuromuscular disease and chest wall disorders, scoliosis and other disorders of the spine

John Flynn, MDJohn Flynn, MD

John M. "Jack" Flynn, MD, is the Chief of the Division of Orthopaedics. He is also the Richard M. Armstrong, Jr. Endowed Chair in Orthopaedic Surgery, and the associate director of the Trauma Center.

Areas of expertise: Scoliosis in adolescents, early-onset scoliosis treatment including magnetic growing rods, kyphosis, developmental dysplasia of the hip, fractures, hip and spine disorders in cerebral palsy

Wudbhav Sankar, MDWudbhav Sankar, MD

Wudbhav N. Sankar, MD, is the Director of the Young Adult Hip Preservation Program and an Attending Surgeon in the Division of Orthopaedics.

Areas of Expertise: Acetabular dysplasia, Down syndrome (trisomy 21), femoroacetabular impingement, Legg-Calvé-Perthes, slipped capital femoral epiphysis (SCFE), trauma and fractures, young adult hip preservation, congenital and acquired hip disorders

Apurva Shah, MDApurva Shah, MD, MBA

Apurva S. Shah, MD, MBA, is an Orthopaedic Surgeon and a specialist in pediatric hand and upper extremity surgery.

Areas of expertise: Brachial plexus birth palsy, congenital hand and arm differences, hand and upper limb trauma, hand and upper limb sports injuries, hand and upper limb tumors

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