Dr. Paul Cesar Missiuna – Orthopedic Surgeon | Hamilton, ON

Dr. Paul Cesar Missiuna is a Orthopedic Surgeon. Practicing at Toronto Western Hospital in Hamilton, ON, Dr. Missiuna is dedicated to providing high-quality, patient-focused care in Orthopedic Surgery. Dr. Missiuna is licensed by The College of Physicians and Surgeons of Ontario (CPSO) and adheres to the highest professional and ethical standards of surgical practice in ON. Dr. Missiuna 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. Paul Cesar Missiuna earned a Medical Degree from Schulich School Of Medicine And Dentistry, graduating in 1981. Subsequently, Dr. Missiuna completed extensive specialty training and achieved Fellowship with the Royal College of Physicians and Surgeons of Canada (FRCSC) in Orthopedic Surgery. Dr. Missiuna brings extensive clinical and surgical experience to the practice. Dr. Missiuna's expertise encompasses Specialty Practice in Orthopedic Surgery. Dr. Missiuna 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. Missiuna's surgical practice philosophy include: 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; a patient-centered approach, ensuring that treatment decisions are made collaboratively with the patient’s goals and lifestyle in mind. Dr. Missiuna is fluent in English and also offers consultations in Ukrainian.

As an Orthopedic Surgeon, Dr. Paul Cesar Missiuna diagnoses and treats a wide spectrum of injuries and conditions affecting the musculoskeletal system, including but not limited to:

Degenerative Joint Diseases

• Rheumatoid Arthritis (Orthopedic Management): Surgical and non-surgical management of joint damage and deformities caused by rheumatoid arthritis and other inflammatory arthropathies.
• Osteoarthritis: Managing joint pain, stiffness, and loss of function caused by wear-and-tear arthritis affecting joints like the hip, knee, shoulder, hand, or spine.

Bone Joint Disorders General

• Nonunions and Malunions of Fractures: Reconstructive procedures to promote bone healing and restore proper alignment.
• Tendonitis and Bursitis (Persistent/Severe): Surgical management for chronic or severe cases of tendon inflammation (tendonitis) or bursa inflammation (bursitis) unresponsive to conservative care.
• Bone Infections (Osteomyelitis - Surgical Debridement): Surgical debridement and management of bone infections, often in conjunction with long-term antibiotic therapy.

Traumatic Injuries

• Fractures (Broken Bones): Management of acute fractures of the upper extremity, lower extremity, and axial skeleton.
• Sprains and Strains: Diagnosing and treating ligament sprains (stretching or tearing of ligaments) and muscle/tendon strains (injuries to muscles or tendons).

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

• Fracture Management (Surgical & Non-Surgical): Comprehensive care for bone fractures, including closed reduction and casting, as well as surgical fixation with plates, screws, rods, or external fixators.
• General Orthopedic Surgical Procedures: Performing a wide range of surgical interventions for various musculoskeletal conditions affecting different parts of the body.
• Non-Operative Orthopedic Care: Comprehensive non-surgical management strategies to alleviate pain, improve function, and promote healing.
• 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. Missiuna. 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. Paul Cesar Missiuna 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 Toronto Western Hospital, the focus is on partnering with you to restore function, alleviate pain, and help you return to your desired activities. Dr. Missiuna frequently works with patients towards outcomes such as:

• For those individuals challenged by the daily effects of their child being born with a clubfoot or hip problems, Dr. Missiuna offers tailored strategies and effective treatments to reach reduced or eliminated numbness and tingling from nerve compression (e.g., carpal tunnel). This positive change can mean rediscovering the simple joy of sleeping through the night without joint pain waking them up.
• Dr. Missiuna provides dedicated support for patients going through trouble with their Achilles tendon making it painful to walk or run, always aiming for positive outcomes like being able to return to sports or recreational activities they enjoy, so they can comfortably and happily return to a full range of activities such as participating in family vacations and outings that involve walking.
• The path to improved musculoskeletal wellness, especially when facing a bunion on their foot that's causing a lot of pain, involves working systematically towards feeling empowered to take an active role in their recovery and rehabilitation. Dr. Missiuna expertly guides patients through this process so they can once again enjoy life's moments, including lifting groceries, a child, or other everyday objects.

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

Dr. Missiuna's practice is located at Toronto Western Hospital in the Westdale, Ainslie Wood (McMaster University area) neighborhood of Hamilton. The clinic is conveniently located near Hamilton City Hall and is accessible via Hamilton Street Railway (HSR). Please inquire about parking options if you have mobility concerns.

Are services provided by an Orthopedic Surgeon like Dr. Missiuna 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. Missiuna are typically covered by provincial health plans such as 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 Toronto Western Hospital about any potential out-of-pocket costs and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

What does an Orthopedic Surgeon like Dr. Missiuna do?

An Orthopedic Surgeon like Dr. Missiuna 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.

What can I expect at my first orthopedic consultation with Dr. Missiuna at Toronto Western 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. Missiuna 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. Missiuna 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.

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

Orthopedic Surgeons like Dr. Missiuna 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. Missiuna will determine the most appropriate treatment to ensure the bone heals correctly and function is restored.

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

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. Missiuna will discuss the expected recovery timeline for a specific procedure during the pre-operative consultation.

Toronto Western Hospital
Unit 1-West- Room 1-439, 10 Ewen Road, Endocrinology/ Medicine
Hamilton, ON, L8S 3C4

Phone: (905) 527-3014

Dr. Paul Cesar Missiuna 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: 43159

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Missiuna-Paul-Cesar/0031179-43159

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