>> It's really about the mission. Fixing a limb that the child will use without problems
for the rest of their life, correcting a spine problem, which literally can save their life,
whether it's opening up their chest to allow their lungs to develop, or correcting a severe
spine deformity, taking out a tumor, it's really about having a positive impact on a
young child which is going to last a lifetime.
♪♪
>> For a CHOP orthopedic surgeon, the days start very early. Many of my colleagues are
here by 6 o'clock in the morning preparing for surgery.
♪♪
>> All right, Matt how are you doing?
>> Good.
♪♪
>> For us, it's been quite an experience, but you know, this place is the best. It's
amazing because we just happen to be 10 miles away from CHOP.
>> Many families travel around the world to get here, so we're very thankful that we don't
have to travel.
>> Every time we sit in that waiting room and hear all the different languages being spoken.
>> Matthew Howder, neuromuscular syndromic scoliosis. The plan is bilateral partial thoracotomies
with expansions of the VEPTRs and correction of truncal shift. Any questions anybody?
♪♪
>> Matt's had about 27 surgical procedures in his life.
>> He couldn't walk. He could barely sit up. He couldn't breathe. It's been transformative
for Matthew.
♪♪
>> Well, I feel more confident. I had like low self-esteem. And then after the surgery
I just felt so much better. And I just look better. I had to get used to the way the rods
were in my back. I went into it thinking I wasn't going to be able to do anything. Now
that I know that I can, I'm really happy about it.
>> With his disease there's muscle tightness. We met with Dr. Baldwin for the tendon release
surgery to kind of lengthening them and let them stretch out. And now his body's not actually
fighting itself to walk.
>> That's that long-term goal of one day he will walk. Whether it's with assistance or
not, he'll walk.
>> He'll be upright, yeah.
>> He will do it.
♪♪
>> Hi guys, ready for a little tune up today?
So go ahead and point to that bum knee for me.
I make an extra incision because I use your hamstrings as your new ACL.
>> OK
>> OK, so this is Benjamin Ruth. He has a right ACL rupture. We are going to surgical
orthoscopy the right knee. ACL reconstruction using his own tissues.
We're going to take down a little bit of that base of the ruptured
anterior cruciate ligament. We took two ligaments
and tendons and quadrupled them for an eight strand graft, which is stronger than the native ACL.
♪♪
>> What happens is cleft feet are very unlike other feet because there's less other tissues
that are scarred up behind the ankle. So you never get like over correction by doing it.
I mean if you do it in somebody who doesn't have it, sure you could really cause problems.
>> OK
>> Uh oh, there he is.
>> Hi, how are you guys doing? How's everything going?
>> Good, good, good
>> How's your boy doing? How you doing?
>> Good
>> He had a big, big operation not too long ago, how's he responded to all of this?
>> Really good, you know, no pain, nothing. Look there's a project, he's great.
>> Is he taller than he was before?
>> Yes he has to lower his head to get into the van.
>> That's terrific, excellent. You're doing great. You're an all-star. You're an all-star.
I'm so proud of you.
They moved down to Florida and his scoliosis progressed 85 degrees in the course of about
a year or so. And they moved back up here because they were concerned that they couldn't
get the same kind of care that they were getting when they lived up here.
>> Joshua was close to losing his lung, but today we can say a success story. You know,
Josh is totally straight.
♪♪
>> This is the reconstruction after the tumor surgery. This replaces the bone that was destroyed
by the cancer.
>> We have no cancer at all. And we're going to watch her carefully either here or in Saudi
Arabia for a long time.
♪♪
>> I was diagnosed with hip dysplasia. So it pretty much meant that my hip bone was
out of alignment. By the time I finished my freshman year, I couldn't really run anymore.
I was having trouble sleeping and standing because I was in pain so much of the time.
I was told, "Like you're gonna have to wait until you have a hip replacement at 35. And
then you're going to have another hip replacement. And then another one, and maybe another one."
So Dr. Sankar cut my bone and then repositioned it and pinned it so my bones could regrow
around the pins and then be removed. Since I had my surgery, not only did I relearn how
to walk, but I also relearned how to run. And in the fall I ran my first marathon, which
is 26.2 miles. CHOP changed my life.
>> I tore my patella tendon and that's the kneecap tendon that holds your kneecap to
the rest of your leg. And I snapped that. I think sports kind of define me. I played
basketball. I played soccer. And I'm running track this season. They really took good care
of me, and I see why they're one of the top hospitals in the country.
♪♪
>> So half of our time is actually spent trying to understand really the basic fundamental
mechanisms by which the skeleton forms and grows. And then the other half of our time
is spent trying to find treatment.
♪♪
>> What I would do is when you go home, is write down, you know, a series of tasks that
you would like to be able to perform with a prosthesis.
>> What she really wants to do is play the violin.
♪♪
>> Stop ... that tickles.
>> He should not play catcher right now until the shoulder is completely better.
>> Playing against a team or like playing by yourself?
>> Any kind of playing. I don't want you to get hit because that finger will break again.
And then you'll be sorry.
So I'm going to make you a new thumb today. What do you think Logan? Yes?
OK, this is Logan [unclear] for right hand syndactyly repair with full thickness skin graft, yes?
>> Yes
>> So we've got this egg-shape ball and it's almost like it's slopped off to the side.
Really it's kind of like the balancing the ball on a seal's nose. You want to get the
socket that he has, which admittedly is not the same size as the ball, but you can't
shrink the ball down. You want to balance what socket you have over the top of the ball.
You have any questions for me or anything? OK, you're a trooper. See you guys tomorrow morning.
♪♪
>> He told us that her left hip had been dislocated, probably since birth. And it was about six
hours of surgery. Brooke came out and we had told her she was going to get a turtle shell,
cause she's really into turtles. And so she had a body cast. You know we would have traveled
anywhere in the country to get her the best surgeon, and I think we wound up with that.
And they told us if we hadn't done the surgery, she probably wouldn't be able to run by the
time she was 15.
>> I like to play my piano. I like to jump. I like to run. I like to play soccer.
I like to ride on my scooter.
♪♪
>> I used to get surgeries constantly when I was a baby. I've grown up with those
doctors and nurses. And I love them all. I'm so grateful. My left lung is not as large
as my right one. So I had some trouble breathing when I was younger. They didn't know if I
was even going to be able to talk when I was a baby. So I got sign language up until about
age 6 or 7. So from going from like my parents not even knowing if I would be able to talk,
like at all, to being at a place where I can sing in a choir is really cool.
I have so many hobbies and interests now. And I guess there's no limit to what anyone
can do if they set their mind to it really.
>> One of the things that makes it so rewarding to work with this group of orthopedic surgeons
is how much they enjoy just coming to work.
♪♪
I mean you drive home at night and you just
realize that you had an impact that's going to affect a human for the rest of their life.
It's so rewarding that even the long days seem to go by very quickly.
♪♪