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Nemours/Alfred I. DuPont Hospital for Children

1600 Rockland Road
Wilmington, DE 19803
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+1 (302) 651-4993

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(800) 829-KIDS

(800) 829-5437
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Conditions We Treat

Nemours Orthopedic Center at Nemours/Alfred I. duPont Hospital for Children

1600 Rockland Road, Wilmington, DE 19803 | Get Map & Directions »

Exceptional Care for Pediatric Orthopedic Conditions & Injuries

To offer truly comprehensive, full-service, expert care to kids in our area and beyond, the Department of Orthopedics:

  • works as a coordinated, collaborative team with other medical and surgical specialists, in tandem with comprehensive therapy services
  • offers innovative surgical techniques
  • provides access to advanced, multicenter drug protocols
  • practices family-centered care — you’re part of the team, working side by side with us to develop a personalized treatment plan that works best for your child

Our Centers of Excellence

At Nemours/Alfred I. duPont Hospital for Children, we’re highly regarded in our region, as well as around the country and the world for excellence in pediatric orthopedic care, surgery and research for:

Cerebral Palsy

At the Cerebral Palsy Center, our team of world-class specialists (in orthopedic surgery, pediatrics, neurology, neurosurgery and rehabilitation) work together to help each child with cerebral palsy (CP) reach their full potential.

Program Highlights
  • specialized spasticity and movement disorders clinic
  • hip subluxation and dislocation prevention and treatment (immediate mobilization minimizes the use of casting after surgery)
  • onsite nurse navigator (coordinating services and appointments)
  • dedicated social worker and psychologist
  • Gait Analysis Laboratory (imaging provides surgeons with data to deliver more predictable results)
  • wheelchair and mobility clinic (pressure mapping, custom seating)
  • augmentative communication program
  • CP Family Advisory Council
  • CP mentoring program
Learn More About:
Skeletal Dysplasia (Dwarfism)
AI duPont boy patient with skeletal dysplasia (dwarfism) smiles

Our Skeletal Dysplasia Center is one of the world’s foremost centers in the treatment of skeletal dysplasia, with more than 75 years of combined experience in the diagnosis and management of children with skeletal dysplasia. Supported by a team of specialists from multiple disciplines, our world-renowned orthopedic and genetics experts strive to maximize a child’s mobility, correct deformity and improve overall quality of life.

Program Highlights
  • advanced care of the spine and extremities, genetic counseling and physical therapy
  • patient support forums in association with The Little People of America
  • access to the only primordial dwarfism registry in the United States and (for appropriate patients) enzyme replacement therapy for mucopolysaccharidosis
  • continuation of care to treat skeletal dysplasia patients to 35 years of age
Learn More About:
Spine & Scoliosis
AI girl patient looks at papers, Dr. Suken Shah holds model of spine

At the Spine and Scoliosis Center, we’re experts in treating the full range of scoliosis and other spinal problems (kyphosis and spondylolisthesis) in children and teens. Our goal as a comprehensive team (of specialists, surgeons and physical therapists) is to get kids with spinal deformities back to the activities they love.

Program Highlights
  • postoperative infection rates, length of stay and reoperation rates below the national average
  • use of Nobel Prize-winning EOS imaging technology (provides highest quality 3-D X-rays of the spine using the lowest dose of radiation possible)
  • high posttreatment patient satisfaction scores
  • customized, ventilated Wilmington Brace with built-in compliance monitor
  • genetic testing to identify those at risk for severe curve progression
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Sports Medicine
AI duPont Hospital boy patient runs in Center for Sports Medicine gym

Our Center for Sports Medicine provides care for active kids and athletes who sustain acute and chronic sports-related injuries or sports-related concussions. Our pediatric sports medicine physicians, sports medicine surgeons, athletic trainers, physical therapists, certified hand therapists and sports nutritionist work together to customize a treatment plan that best addresses the needs of the individual young athlete and ensures a safe return to play.

Program Highlights
  • the region’s largest pediatric sports medicine facility
  • comprehensive concussion diagnosis and management 
  • 1:1 ratio of physical therapist to patient
  • access to a nurse navigator to coordinate concussion appointments
  • onsite imaging and MRI
Learn More About:

Orthopedic Conditions We Treat

Our highly skilled, experienced pediatric orthopedists, orthopedic surgeons and comprehensive care teams provide the full spectrum of inpatient and outpatient services.

We constantly pool our collective expertise, working alongside other pediatric specialists and therapy service providers, and use our vast complementary onsite services (e.g., radiology/medical imaging, the wheelchair clinic, augmentative communications, and the orthotics and prosthetics shops) to diagnose and treat children with all kind of orthopedic conditions and injuries.

Mom holds girl arthrogryposis patient with robotic arm device at AI

Our arthrogryposis (or arthrogryposis multiplex congenita/AMC) team works closely with families to determine the best course of care for the child and to create a customized comprehensive rehabilitation plan. Through both medical and surgical management with a team of specialists from multiple disciplines, our goal is to maintain and maximize each child’s range of motion and function.

Program Highlights
  • access to the Wilmington Robotic Exoskeleton (WREX), an upper limb orthosis that helps children gain mobility of their arms
  • customized orthotics, splinting and bracing
  • physical and occupational therapy

Learn More About the Arthrogryposis Program »

Bone Tumors
Dr. Mihir Thacker exams pediatric orthopedic patient on AI exam table

Our Bone Tumor Program is led by a fellowship-trained surgeon in both orthopedic oncology and pediatric orthopedics, with a unique appreciation of the needs of these children and how to best treat them. Appropriate identification and evaluation of bone tumors by an experienced team is critical in establishing the treatment that will most improve function and quality of life.

Program Highlights
  • a team of experts from multiple disciplines reviews each case
  • innovative surgical techniques (limb salvage surgery routinely performed, advanced navigation methods, noninvasive limb lengthening techniques to keep the lengths of the legs even as children grow)
  • medical and surgical management
  • comprehensive evaluation for both benign and malignant tumors
  • access to experimental, multicampus cancer treatment protocols

Learn More About the Bone Tumor Program »

Nurse examines girl with clubfoot at AI duPont Hospital for Children

Our Clubfoot Program is led by a highly skilled orthopedic surgeon. For the majority of children, clubfoot is almost completely correctable without major surgery or pain.

Program Highlights
  • use of the Ponseti method (minimally invasive process — the international “gold” standard — to gently and safely stretch a child’s foot or feet into the correct or forward facing position using casting and orthotics)
  • physical therapy

Learn More About the Clubfoot Program »

General Orthopedic Problems
Pediatric orthopedic boy patient wearing a halo smiles at AI nurse

Our experienced, highly skilled general orthopedic specialists and surgeons diagnose and manage a wide range of bone, joint, nerve and muscular conditions including musculoskeletal injuries, foot problems, torticollis, bone and joint infections, congenital (present at birth) defects and disorders involving children’s gait (how a person walks). We work together with your child’s doctor to deliver high-quality care. Our goal, with every child we treat, is to help restore function — and get kids back to being kids.

Hand & Upper Extremity Differences
AI duPont Hospital technician helps blonde girl with arm cast

Hand and upper extremity conditions can be complex in the way they affect the bones, muscles, tendons, nerves and blood vessels. Through medical and surgical management, our pediatric orthopedic surgeons have advanced training in hand, upper extremity and microvascular surgery to provide highly customized and precise treatment to improve or restore optimum functionality.

Program Highlights
  • certified hand therapists assist in rehabilitation through personalized, one-on-one care
  • Patient Support Forum 
  • therapy services (hand, physical and occupational)
  • specialized splinting and casting

Learn More About the Hand & Upper Extremity Program »

Hip Conditions & Preservation
Dr. Richard Bowen from AI duPont smiles at baby girl with hip problem

Hip disorders in the pediatric population can have a profound impact on daily activities, function and quality of life. We have a great history of developing one of the premier hip ultrasound programs in the world, offering excellent care for children with hip disorders such as femoroacetabular impingement (FAI), developmental dysplasia of hip (DDH), hip labral tears, Perthes disease (also called “Legg-Calvé-Perthes”) and slipped capital femoral epiphysis (SCFE).

Program Highlights
  • comprehensive, state-of-the-art hip care for babies to young adults
  • hip arthroscopy
  • hip ultrasound
  • nonoperative and surgical treatment of hip, SCFE and Perthes dysplasia
  • complex hip preservation surgery (including surgical hip dislocation, femoral head reshaping and pelvic osteotomies to correct acetabular dysplasia)
Limb Length Discrepancies & Reconstruction
AI duPont Hospital girl patient with bandage around hand plays violin

Limb deformities and disorders causing differences in leg lengths are frequent causes of difficulty with movement and sports, and can affect the quality of life of young children. Our limb reconstruction program offers comprehensive care and evaluation for kids with limb deformities and length differences.

Program Highlights
  • limb lengthening using external fixators as well as internal devices
  • noninvasive expansion for lengthening
  • use of intra-operative navigation for treatment of physeal bars (growth arrest)
  • growth modulation for correction of deformity/discrepancy

Learn More About Limb Lengthening & Reconstruction »

Neuromuscular Disorders
Smiling boy with neuromuscular disorder looks up at smiling mom at AI

Neuromuscular disorders in children (also sometimes called “NMDs”) come in many forms, with different symptoms, causes, treatments and long-term outlooks. Some are genetic (inherited) and some are acquired (they develop during childhood). We strive to understand the underlying disease process and maximize your child’s strength and function.

Program Highlights
  • a world-class Muscular Dystrophy Program — the only one of its kind in Delaware
  • highly specialized orthotic devices for kids who could benefit from their use but don’t have the financial means to obtain them
  • family conferences and visiting professorships for experts in their respective fields
  • Gait Analysis Laboratory (among the first of its kind)
  • psychological support for families of kids with neuromuscular and neuro-orthopedic disorders
Learn More About:
Osteogenesis Imperfecta (OI)
AI duPont doctor holds foot of newborn with osteogenesis imperfecta

Our Osteogenesis Imperfecta (OI) Program is dedicated to helping children maximize their independence and functionality, regardless of the severity of their condition. Kids born with this rare genetic disorder (sometimes referred to as “brittle bone disease”) have bones that break easily, often from little or no apparent cause. Our team of specialists across many disciplines offers comprehensive, integrated medical and surgical care for children with all forms of the disease.

Program Highlights
  • advanced orthopedic fracture care using specialized casting material and techniques to mobilize the affected area and minimize additional fracture risk
  • a customized occupational and physical therapy program 
  • audiologic care
  • seating and orthotic devices 
  • adaptive equipment 

Learn More About Osteogenesis Imperfecta »

AI duPont trauma team helps an injured pediatric orthopedic patient

Nemours/Alfred I. duPont Hospital for Children has Delaware’s only pediatric trauma center — verified as a Level I Pediatric Trauma Center by the American College of Surgeons. Our orthopedic surgeons are part of a specialized team providing expert specialty care 24/7 for children who’ve experienced severe and life-threatening injuries. 

Program Highlights
  • immediate access to pediatric subspecialists, technology and equipment designed especially for children
  • onsite X-ray and advanced imaging and a full-service lab
  • specialized cast room staffed by orthopedic technicians experienced in working with injured children
  • customized bracing and orthotics
  • physical therapy and other rehabilitative services

Learn More About the Trauma Center »

Our Gait Analysis Laboratory: Among the First of Its Kind

Nemours’ pediatric orthopedic specialists and surgeons are constantly innovating new ways to diagnose and treat orthopedic conditions. In fact, our children’s hospital was among the first in the nation to offer a Gait Analysis Laboratory, where we use technologically advanced techniques to analyze the way your child walks — including details such as the timing of muscles, and the forces produced by the motion and the movement of various joints. This helps us make the best possible treatment decisions — surgical and nonsurgical — for your child’s condition.

Fetal Conditions: Diagnostic Testing & Specialty Consultations

Through a multispecialty program called the “Nemours Partners for Perinatal Management,” we offer leading-edge fetal diagnostic testing and perinatal consultation services for expectant parents with babies who have orthopedic conditions that may require specialized care right after birth. We’ll help you understand your unborn baby’s diagnosis, work with you to create a plan of care, and help you understand what to expect once your baby is born.

Learn More About Nemours Partners for Perinatal Management »

Watch This

Illustration of a child’s brain with a video play icon overtop

Concussion Guide for Parents (from Nemours’ KidsHealth)

The Body

How Your Bones and Skeleton Work (from Nemours’ KidsHealth)

How Your Muscles Work (from Nemours’ KidsHealth)


Top 10 Things Kids Need to Know About Surgery


How Is Scoliosis Treated?

What Is Scoliosis?