Trauma and Orthopaedics
We provide a full range of Orthopaedic procedures including joint replacement, upper limb, foot and ankle surgery. The service is based at Altnagelvin Hospital where all inpatient and day cases are performed; however outpatient clinics take place in Omagh, Enniskillen, Coleraine and Limavady.
We have 13 consultant orthopaedic surgeons working across 2 elective operating theatres and 1 trauma theatre. We have a team of orthopaedic anaesthetists to ensure that you are safely able to undergo your orthopaedic procedure. We also have 2 consultant ortho-physicians who manage the medical conditions of patient in the wards.
How to access our service
The orthopaedic service is accessed through your GP. If you feel you require a referral to our service you should make an appointment to discuss this with your GP.
Not every orthopaedic condition needs to be seen by an orthopaedic consultant and can be managed by our ICATS (Integrated Clinical Assessment and Treatment Service) team which combines expertise from a range of musculoskeletal disciplines.
Patients who have sustained a fracture or injury will usually be referred to the service following attendance at Emergency Department or Urgent Care and Treatment Centre. These pathways are known as emergency or unscheduled pathways for patients as they are as result of an injury or sudden onset condition like a bone infection.
Fracture/trauma patients are treated as both inpatients and outpatients.
The types of clinics provided include:
- Orthopaedic clinics by consultant surgeons
- Nurse led clinics for children with developmental dysplasia of the hip
- Pre-op Assesment clinics by specialist nurses and anaesthetists
- Arthroplasty review clinics by a specialist nurse
- Fracture liaison clinics by nurses and radiographers
- Osteoporosis clinics by consultant rheumatologist
- Orthopaedic clinics for children are provided by paediatric orthopaedic consultants from the Belfast Trust and some of these are combined clinics with consultant paediatricians from the Western Trust.
- Staff endeavour to have patients seen at local clinics but this is not always possible.
Monthly Waiting Times
Outpatient Appointments – February 2023
Below are the current maximum waiting times for patients being referred into the Trauma and Orthopaedic Service and how long patients are likely to wait for their initial consultation.
Body Part that referral relates to Number of weeks since referral to Consultant Foot and Ankle 117.3 weeks Upper limb 249.9 weeks Joint replacement and other 143.7 weeks
In-Patient / Day Case – February 2023
Once seen in outpatients and listed for surgery, patients are added to the Day Case/Inpatient waiting list and below are the current maximum waiting times that patients are likely to wait for their operation. All major procedures and some others will require pre-admission assessment prior to treatment and this usually takes place 2-3 months prior to the admission date.
Body Part that referral relates to Maximum Weeks waiting Inpatients Maximum Weeks waiting Day Case Foot and Ankle
388.9 weeks Upper limb 403.5 weeks 420.1 weeks Joint replacement and other 398.8 weeks 378.9 weeks
For more information on being added to an Orthopaedic Waiting List please check out our Waiting List Information Booklet.
Patient Information Leaflets
A guide to preventing blood clots
A to Z of things to remember on discharge following your Total Hip Replacement
A to Z of things to remember on discharge following your Total Knee Replacement
Having total hip replacement surgery
Having total Knee replacement surgery
Advice leaflets for fracture patients discharged from Emergency Department
5th Metatarsal Fracture Discharge Advice
Boxers Fracture Discharge Advice
Child’s Clavicle Fracture Discharge Advice
Closed Distal Phalanx Fracture Discharge Advice
Closed Toe Phalangeal Fracture Discharge Advice
Mallet Finger Discharge Advice
Outpatient care following a fracture/injury
Radial Head Neck Discharge Advice
Torus (Buckle) Fracture Discharge Advice
Undisplaced Metacarpal Fracture Discharge Advice
- Physiotherapy advice leaflets for patients discharged from Emergency Department
Advice Exercise Sheets Post Fracture
Shoulder – Mobilisation Post Fracture
Knee – Physiotherapy Post Fracture
Ankle – Physiotherapy Advice Post Fracture
Elbow – Physiotherapy Advice Post Fracture
Lower Limb Strengthening Programme
Patient’s journey for hip or knee replacement
Recovering from an Ankle Injury
Locations where this service is delivered
- Altnagelvin Area Hospital
- Omagh Hospital and Primary Care Complex
- Roe Valley Hospital
- South West Acute Hospital
Partial Booking Office
Trauma and Orthopaedic Elective Co-ordinator
Elective Orthopaedic Unit
Ward 5, Altnagelvin Hospital
Trauma Orthopaedic Unit
Ward 2, Altnagelvin Hospital
Outpatients Department, Altnagelvin Hospital
Pre-op Operative Assessment Unit
Virtual Fracture Clinic
Fracture Liaison and Osteoporosis Service
Arthroplasty Review Nurse