Dr. Bartholomeus Johannes Malherbe Le Roux

As an Orthopedic Surgeon, Dr. Bartholomeus Johannes Malherbe Le Roux diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Sports Injuries

• Shoulder Instability and Dislocations: Addressing problems that cause the shoulder joint to slip out of place.
• Tendon Injuries (e.g., Achilles, Patellar, Biceps Tendon Rupture): Surgical and non-surgical management of acute tendon ruptures and chronic tendinopathies.
• Meniscus Tears: Managing tears of the meniscus (cartilage pads in the knee) through conservative treatment or arthroscopic surgery (repair or meniscectomy).
• Ligament Tears (e.g., ACL, MCL, Rotator Cuff): Diagnosing and treating tears of major ligaments in the knee (ACL, PCL, MCL, LCL), shoulder (rotator cuff, labrum), ankle, and elbow, often requiring surgical repair or reconstruction.

Traumatic Injuries

• Complex Musculoskeletal Trauma: Specialized care for severe injuries involving multiple fractures, open fractures, pelvic fractures, or significant soft tissue damage.
• Sprains and Strains: Diagnosing and treating ligament sprains (stretching or tearing of ligaments) and muscle/tendon strains (injuries to muscles or tendons).

Degenerative Joint Diseases

• Avascular Necrosis (Osteonecrosis): Interventions may include core decompression or joint replacement depending on the stage.
• Osteoarthritis: Comprehensive treatment including non-surgical options (medication, injections, therapy) and surgical joint replacement when indicated.

This list provides examples of conditions commonly managed. A comprehensive diagnosis and treatment plan, which may be surgical or non-surgical, are always based on an individual assessment by Dr. Roux, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic.

• Hip Replacement Surgery (Total & Partial): Surgical reconstruction of the hip joint, including total hip arthroplasty and hemiarthroplasty, for conditions like osteoarthritis, rheumatoid arthritis, or hip fractures.
• Shoulder Replacement Surgery: Surgical solutions to improve shoulder mobility and reduce pain from severe joint damage.
• Complex Fracture and Trauma Surgery: Reconstructive surgery for severe bone and joint injuries.
• Knee Replacement Surgery (Total & Partial): Surgical replacement of the knee joint, including total knee arthroplasty and unicompartmental (partial) knee replacement, for severe arthritis or injury.
• Non-Operative Orthopedic Care: Providing conservative treatment options for musculoskeletal conditions, including medication management, therapeutic injections, bracing, casting, and referrals for physiotherapy.

Note: This list highlights some of the key services offered by Dr. Roux. Not all services may be listed, and the suitability of any procedure or treatment depends on individual assessment and referral. For a comprehensive understanding or to discuss your specific medical needs, please schedule a consultation.

All surgical and non-surgical treatments by Dr. Bartholomeus Johannes Malherbe Le Roux adhere to the scope of practice for Orthopedic Surgeons in ON and the standards of The College of Physicians and Surgeons of Ontario (CPSO).

At Michael Garron Hospital, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Roux frequently works with patients towards outcomes such as:

• Effectively addressing their fingers getting stuck in a bent position (trigger finger) with Dr. Roux's comprehensive orthopedic approach often leads to the desired outcome of being able to sleep better without being woken by musculoskeletal pain, enabling patients to more freely and confidently engage in their child running and playing with friends without limitations and social interactions.
• For patients where a shoulder injury from sports that won't heal and keeps them from playing is a primary concern, Dr. Roux focuses on creating personalized treatment plans that culminate in a well-functioning joint replacement that allows for better movement and less pain. This directly supports and enhances their ability to fully hiking, running, or cycling again.
• Dr. Roux's comprehensive care for a recent ankle sprain that isn't getting better is meticulously designed to result in significant pain relief in their affected joint or limb. This allows patients to confidently resume important personal or professional activities such as returning to their job, especially if it's physically demanding without musculoskeletal worries.

Your personalized treatment plan, whether surgical or non-surgical, developed in consultation with Dr. Roux, will be carefully designed to help you achieve your specific musculoskeletal goals. Dr. Roux is committed to providing expert orthopedic care to help you regain mobility and improve your quality of life.

Dr. Roux's practice is located at Michael Garron Hospital in the Downtown Niagara Falls (Queen St area) neighborhood of Niagara Falls. The clinic is conveniently located near the Commercial Corridor and is accessible via Niagara Region Transit (NRT). Please inquire about parking options if you have mobility concerns.

Are services provided by an Orthopedic Surgeon like Dr. Roux covered by provincial health insurance (e.g., Ontario Health Insurance Plan (OHIP))?

Most physician consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Roux are typically covered by provincial health plans such as the Ontario Health Insurance Plan (OHIP) in ON, provided the patient has a valid health card and appropriate referral. Diagnostic imaging ordered is also usually covered. However, some specific items like certain braces, custom orthotics, or advanced biologic injections may not be fully covered or may have associated fees. It's always best for patients to inquire with Michael Garron Hospital about any potential out-of-pocket costs and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

How does Dr. Roux treat broken bones (fractures)?

Orthopedic Surgeons like Dr. Roux are experts in treating all types of bone fractures. Treatment depends on the type and severity of the fracture, its location, and the patient's overall health. Non-surgical treatment may involve realigning the bone (reduction) and then immobilizing it with a cast, splint, or brace to allow it to heal. Surgical treatment might be necessary for more complex fractures, open fractures (where the bone breaks the skin), or fractures that are unlikely to heal well with casting alone. Surgical options include internal fixation (using plates, screws, rods, or pins to hold the bone pieces together) or external fixation (using a frame outside the body connected to pins in the bone). Dr. Roux will determine the most appropriate treatment to ensure the bone heals correctly and function is restored.

What does an Orthopedic Surgeon like Dr. Roux do?

An Orthopedic Surgeon like Dr. Roux is a medical doctor (physician) who specializes in diagnosing, treating, preventing, and rehabilitating injuries and diseases of the body's musculoskeletal system. This includes bones, joints, ligaments, tendons, muscles, and nerves. They manage a wide range of conditions such as fractures, arthritis, sports injuries, spinal disorders, and congenital deformities. While they are surgeons, Orthopedic Surgeons use both surgical methods (like joint replacements, fracture repair, arthroscopy) and non-surgical methods (like medication, injections, bracing, or recommending physiotherapy) to treat patients. Their goal is to restore function, alleviate pain, and improve quality of life.

How long is the recovery time after orthopedic surgery with Dr. Roux?

Recovery time after orthopedic surgery varies greatly depending on the type of surgery performed (e.g., arthroscopy vs. joint replacement vs. fracture fixation), the specific joint or bone involved, the patient's age and overall health, and their adherence to the post-operative rehabilitation plan. Some minor procedures may have a recovery of a few weeks, while major surgeries like total joint replacements can take several months for full recovery and return to all activities. Dr. Roux will discuss the expected recovery timeline for a specific procedure during the pre-operative consultation.

What can I expect at my first orthopedic consultation with Dr. Roux at Michael Garron Hospital?

The first visit will typically involve a comprehensive musculoskeletal assessment. This includes a detailed discussion of the patient's medical history, the specific problem (e.g., pain, injury, loss of function), how it started, what makes it better or worse, and its impact on daily activities and quality of life. Dr. Roux will review any previous treatments and will perform a thorough physical examination of the affected area(s), assessing range of motion, strength, stability, and tenderness. Any prior imaging (X-rays, MRI, CT scans) will be reviewed. Based on this evaluation, Dr. Roux will discuss their diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment options, both non-surgical and surgical, working with the patient to establish goals.

Do I typically need a referral to see an Orthopedic Surgeon like Dr. Roux?

Yes, in ON, a referral from a family doctor (GP) or another specialist (e.g., sports medicine physician, rheumatologist) is generally required to see an Orthopedic Surgeon like Dr. Roux for consultations and potential surgical treatments covered by provincial health plans like Ontario Health Insurance Plan (OHIP). This referral helps ensure the consultation is appropriate and that Dr. Roux has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need an orthopedic surgical assessment.

What is joint replacement surgery, and when might Dr. Roux recommend it?

Joint replacement surgery, or arthroplasty, is a procedure where damaged or arthritic parts of a joint (like the hip, knee, or shoulder) are removed and replaced with artificial components (prostheses) made of metal, plastic, or ceramic. Dr. Roux might recommend joint replacement if a patient has severe joint pain and loss of function, typically due to advanced osteoarthritis, rheumatoid arthritis, or a significant injury, and non-surgical treatments (like medication, injections, physiotherapy) are no longer providing adequate relief. The goal is to reduce pain, improve mobility, and enhance quality of life.

Michael Garron Hospital
5547 Portage Road, Department of Medical Oncology
Niagara Falls, ON, L2G 5Y2

Phone: (905) 353-8833

Dr. Bartholomeus Johannes Malherbe Le Roux is a licensed Orthopedic Surgeon in ON, regulated by The College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario).

License Number: 84182

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Le-Roux-Bartholomeus-Johannes-Malherbe/0231792-84182

A referral from a family physician or another specialist is generally required to see Dr. Roux. Dr. Roux and the team are dedicated to providing expert orthopedic care. If you have a medical emergency, please proceed to the nearest hospital emergency department or call 911.