Orthopaedic services

Orthopaedic services


Orthopaedics includes surgery of the spine and joints such as hips, knees, feet and shoulders. Here are some of the services we offer:

  • Rapid access to advanced practitioners to reduce your wait times
  • Treatment of shoulder and other sports injuries
  • Treatment of fractures resulting from injury, aging bones or other reasons
  • Hip and knee joint replacement (same-day or short-stay) through our Orthopaedic and Joint Assessment Centre (OJAC) Rapid Access Centre
  • Direct anterior approach (DAA) and direct superior approach (DSA) muscle-sparing techniques for hip replacements
  • Corrective surgery for foot deformities
  • Rapid Access Clinic for Low Back Pain

Your orthopaedic surgery

If you are coming for surgery, please also see the Your surgical care journey and Day of surgery pages, where you will find out important information such as how to prepare for surgery and what to do/where to go when you arrive at the hospital.

Orthopaedic Joint Assessment Centre

The Orthopaedic Joint Assessment Centre (OJAC) is part of a Ministry of Health and Long-Term Care-wide initiative. The Central LHIN has established a centralized referral system for primary hip and knee joint arthroplasty for the region’s five Rapid Access Centres (RACs): Humber River Hospital, Mackenzie Health, Markham Stouffville Hospital, North York General Hospital and Southlake Regional Health Centre. The Central LHIN’s centralized referral centre is located at Markham Stouffville Hospital.

Having recently expanded to support the growth and demand in the community, this initiative will help improve access and wait times for our patients.

Find out more about the Orthopaedic Joint Assessment Centre.

Types of orthopaedic surgery

The surgical team at MSH performs many different types of joint replacement surgeries. We have a centralized referral centre for hip and knee replacement and shoulder surgeries, allowing rapid access to consultation – within two weeks of referral.

Our total joint replacement program for hips and knees is robust, and we use technologically advanced plastic-on-metal joints for replacement, which have fewer side effects than metal-on-metal. Depending on your situation, we can do short-stay or same-day surgery, which allows you to recover in the comfort of your own home.

Our hip replacement surgeries are done in a way as to avoid cutting into key muscle groups in that area. These are called ‘muscle-sparing’ techniques and they allow for a more comfortable and quicker recovery. The muscle-sparing techniques we offer are called direct anterior approach (DAA) and direct superior approach (DSA) hip replacements.

When you undergo joint replacement surgery at MSH, our patient navigator will support you and your family throughout your surgical journey, from your first clinic appointment until 90 days after surgery, and she is there to answer any questions.

We will aim to set up your assessment, anaesthetic and medical consults, joint surgery education class, labs and imaging all in one day.

On the day of surgery, our surgical liaison nurses will guide you and your family through the surgical process and answer your questions. We also have a joint info manual, in-person education sessions about your surgery, and if needed, follow ups at the Fracture Clinic or Surgical Wellness Clinic.

Find out more about joint replacement surgery at MSH.

Rapid Access Clinic for Low Back Pain

MSH is one of the first few community hospitals across Ontario rolling out a centralized Rapid Access Clinic for Low Back Pain (formerly called ISAEC). If you participate in the program, you will be seen within four weeks after referral.

The program provides education and evidence-based self-management plans, and we may suggest additional treatment options such as exercise or pain management therapies. If needed, the team will schedule appointments for spine specialists and book diagnostic imaging tests or a consultation with a surgeon.

Find out more about our Rapid Access Clinic for Low Back Pain.

Meet our orthopaedic surgeon team