Dr. Josianne Lépine – Orthopedic Surgeon | Laval, QC

Dr. Josianne Lépine is a Orthopedic Surgeon. Practicing at Hôpital de la Cité-de-la-Santé in Laval, QC, Dr. Lépine is dedicated to providing high-quality, patient-focused care in Orthopedic Surgery. Dr. Lépine is licensed by The Collège des médecins du Québec (CMQ) and adheres to the highest professional and ethical standards of surgical practice in QC.

Dr. Lépine serves patients requiring specialized orthopedic care as a certified specialist in Orthopedic Surgery, dedicated to the diagnosis, treatment, and prevention of injuries and diseases of the body’s musculoskeletal system. This includes bones, joints, ligaments, tendons, muscles, and nerves. The goal is to restore function, alleviate pain, and improve quality of life through both surgical and non-surgical means.

Dr. Josianne Lépine earned a Medical Degree in 2015. Subsequently, Dr. Lépine completed advanced specialty training in Specialty Practice in Orthopedic Surgery. With over 10 years of specialized surgical practice since 2015, Dr. Lépine's expertise encompasses Specialty Practice in Orthopedic Surgery. Dr. Lépine is committed to ongoing professional development and staying at the forefront of orthopedic advancements to offer the best possible care to patients. Key aspects of Dr. Lépine's surgical practice philosophy include: a patient-centered approach, ensuring that treatment decisions are made collaboratively with the patient’s goals and lifestyle in mind; providing clear explanations of conditions and treatment options to empower patients in their healthcare journey; a dedication to surgical excellence and achieving optimal outcomes for every patient. Dr. Lépine offers consultations in French.

As an Chirurgien orthopédiste, Dr. Josianne Lépine diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

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.
• Rheumatoid Arthritis (Orthopedic Management): Addressing the musculoskeletal consequences of autoimmune joint diseases in collaboration with rheumatologists.

Traumatic Injuries

• Fractures (Broken Bones): Management of acute fractures of the upper extremity, lower extremity, and axial skeleton.
• Sprains and Strains: Care for common soft tissue injuries resulting from trauma or overuse.

Bone Joint Disorders General

• Bone Infections (Osteomyelitis - Surgical Debridement): Operative treatment to remove infected bone and tissue.
• Nonunions and Malunions of Fractures: Reconstructive procedures to promote bone healing and restore proper alignment.
• Tendonitis and Bursitis (Persistent/Severe): Procedures such as debridement or bursectomy when indicated.

Sports Injuries

• Tendon Injuries (e.g., Achilles, Patellar, Biceps Tendon Rupture): Surgical and non-surgical management of acute tendon ruptures and chronic tendinopathies.
• 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.

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. Lépine, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic.

• Total Joint Replacement (Arthroplasty): Comprehensive care for patients undergoing total joint arthroplasty, from pre-operative planning to post-operative rehabilitation.
• General Orthopedic Surgical Procedures: Offering operative solutions for orthopedic problems when conservative measures are insufficient.
• Fracture Management (Surgical & Non-Surgical): Expert treatment of broken bones in adults and children, aiming for optimal healing and functional recovery.
• Shoulder Replacement Surgery: Performing total shoulder arthroplasty and reverse total shoulder arthroplasty for conditions like osteoarthritis, rotator cuff tear arthropathy, and complex fractures.
• Hip Replacement Surgery (Total & Partial): Expertise in various surgical approaches and implant choices for hip replacement.

Note: This list highlights some of the key services offered by Dr. Lépine. 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. Josianne Lépine adhere to the scope of practice for Chirurgien orthopédistes in QC and the standards of The Collège des médecins du Québec (CMQ).

At Hôpital de la Cité-de-la-Santé, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Lépine frequently works with patients towards outcomes such as:

• Patients frequently come to Dr. Lépine with concerns about arthritis in their hands making it hard to grip things. By working together as a team, they typically aim for and achieve increased stability in an unstable joint, making a positive and lasting return to getting in and out of a car or chair without difficulty not just possible, but highly feasible.
• Dr. Lépine expertly assists individuals in navigating the complexities of a growth or lump on one of their bones or in their muscles. A successful and well-managed treatment outcome, exemplified by successful healing of their broken bone (fracture), means they can happily and comfortably get back to feeling stable and balanced on their feet, reducing fear of falls.
• For individuals troubled by a recent ankle sprain that isn't getting better, Dr. Lépine's approach is focused on delivering improved hand or foot function for daily activities. This often makes it possible for them to resume important activities like gardening, doing housework, or performing yard work with restored musculoskeletal health.

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

Dr. Lépine practices at Hôpital de la Cité-de-la-Santé, located in the Auteuil neighborhood of Laval. The clinic enjoys convenient proximity to Centropolis (Entertainment/Dining) and is easily accessible via Société de transport de Laval (STL). Please inquire about parking options if you have mobility concerns.

What does an Orthopedic Surgeon like Dr. Lépine do?

An Orthopedic Surgeon like Dr. Lépine is a medical doctor (physician) specializing 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 conditions such as fractures, arthritis, sports injuries, spinal disorders, and congenital deformities. Orthopedic Surgeons use both surgical (joint replacements, fracture repair, arthroscopy) and non-surgical methods (medication, injections, bracing, physiotherapy). Their goal is to restore function, alleviate pain, and improve quality of life.

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

Joint replacement surgery, or arthroplasty, replaces damaged or arthritic parts of a joint (hip, knee, shoulder) with artificial components (prostheses). Dr. Lépine might recommend it for severe joint pain and loss of function due to advanced osteoarthritis, rheumatoid arthritis, or significant injury, when non-surgical treatments are inadequate. The goal is to reduce pain, improve mobility, and enhance quality of life.

How is an Orthopedic Surgeon different from a Rheumatologist or a Physiatrist?

All three specialties deal with musculoskeletal issues, but their approaches differ. Orthopedic Surgeons like Dr. Lépine are surgical specialists using both surgical and non-surgical methods, performing operations when necessary. Rheumatologists diagnose and manage non-surgical inflammatory and autoimmune conditions (rheumatoid arthritis, lupus, gout) using medications. Physiatrists (Physical Medicine & Rehabilitation Specialists) focus on optimizing function and quality of life through non-surgical means, comprehensive rehabilitation, and managing disabilities.

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

Recovery time varies greatly depending on the type of surgery, the joint or bone involved, the patient's age and health, and their adherence to the post-operative rehabilitation plan. Some minor procedures may take a few weeks, while major surgeries like total joint replacements can take several months. Dr. Lépine will discuss the expected timeline during the pre-operative consultation.

What can I expect at my first orthopedic consultation with Dr. Lépine at Hôpital de la Cité-de-la-Santé?

The first visit involves a comprehensive musculoskeletal assessment. This includes a detailed discussion of your medical history, the specific problem, how it started, what makes it better or worse, and its impact on daily activities. Dr. Lépine will review any previous treatments and perform a thorough physical examination. Based on this, Dr. Lépine will discuss diagnostic impressions, may recommend further investigations, and outline potential treatment options.

Are services provided by an Orthopedic Surgeon like Dr. Lépine covered by provincial health insurance (e.g., Régie de l'assurance maladie du Québec (RAMQ))?

Most physician consultations, medically necessary assessments, and approved surgical procedures by a registered Orthopedic Surgeon like Dr. Lépine are typically covered by provincial health plans such as Régie de l'assurance maladie du Québec (RAMQ) in QC, 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 Hôpital de la Cité-de-la-Santé 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. Lépine treat broken bones (fractures)?

Orthopedic Surgeons like Dr. Lépine are experts in treating 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 and immobilizing it with a cast, splint, or brace. Surgical treatment might be necessary for complex fractures, open fractures, or fractures unlikely to heal well with casting alone. Surgical options include internal or external fixation. Dr. Lépine will determine the most appropriate treatment.

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

Yes, in QC, a referral from a family doctor (GP) or another specialist is generally required to see an Orthopedic Surgeon like Dr. Lépine for consultations and potential surgical treatments covered by provincial health plans like Régie de l'assurance maladie du Québec (RAMQ). This referral ensures the consultation is appropriate and that Dr. Lépine has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need an orthopedic surgical assessment.

Hôpital de la Cité-de-la-Santé
1755 boul René-Laennec
Laval, QC, H7K 3V5

Phone: (450) 668-1010

Dr. Josianne Lépine is a licensed Chirurgien orthopédiste in QC, regulated by The Collège des médecins du Québec (CMQ) under the Code des professions & Loi médicale (Québec).

License Number: 15206

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=15206

A referral from a family physician or another specialist is generally required to see Dr. Lépine. Dr. Lépine 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.