The Children's Fracture Center

COA is proud to announce the Children's Fracture Center.  Our goal is to provide quality orthopaedic care to your children in as easy, friendly, and efficient manner as possible.  Every provider at COA is specially trained to treat your childs' injuries at different capacities, and it is our large team approach that enables us to deliver the type of care that you should expect for your child.

If your child is injured during business hours and does not meet immediate criteria to go to an Emergency Room (see below), then please schedule an appointment online or call us at 404-255-1933.  Same day appointments are often available. If you are not sure whether or not to go to the emergency room, please contact us and ask to speak to one of our knowledgeable triage nurses.

We also try to make the after-hours process as seamless as possible.  If you have decided that your child needs medical attention during these "off hours" (such as from an ER or urgent care center), and it is recommended that you have follow up with an orthopaedic practice, you can call our fracture center hotline 678-686-6800, or request an appointment.  Please leave us a message.  Oftentimes, we will be able to make your child an appointment that evening, otherwise, our appointment specialists will contact you first thing the following morning. 


You should consider taking your child to the emergency room if any of the following are true:

  1. The skin is not intact (i.e. - the bone has pierced through the skin)
  2. Your child feels numbness or tingling in the broken/injured area
  3. You cannot control your child's pain


The fracture center relies on its entire team to provide the service and care you deserve and expect.  The "midlevels" - (i.e. Physician Assistants and Nurse Practitioners) provide the majority of fracture treatment.  They are all specially trained and are always under the supervision of the surgeons.  PAs allow our practice to provide the care for your child at a convenient time and location. 

The roles of the Fracture Center Team are explained below:

  • The Pediatric Orthopaedic Surgeons:  The orthopaedic surgeons at COA are all fellowship trained, and either board certified or board eligible.  Ultimately, the surgeon's at COA are responsible for making the decision whether or not your childs' fracture would heal better with a surgery or with a cast.  There are times when the surgeon becomes involved right away, such as children with femur fractures, as those children typically come to the hospital rather than to the office.  Other times, you and your child may never see the orthopaedic surgeon, especially as most of the childhood fractures require nothing more than a well-molded cast to heal. 

The pediatric orthopaedic surgeons at COA provide exclusive 24/7/365 orthopaedic coverage for Children's Healthcare of Atlanta at Scottish Rite hospital.  The COA surgeons also provide telephone consultation to pediatricians and emergency room physicians throughout the southeast region.  In certain situations, patients are transferred to Scottish Rite hospital from hospitals hours away to receive the expert care that our surgeons provide.

  • The Non-Surgical Medical Doctors:  There are 4 sports medicine specialists and 1 non-operative pediatric orthopaedic specialists.  The sports physicians are specially trained to treat sports injuries and fractures related to sports.  Not only do they provide expertise in managing the fracture and/or injury, but also in the rehab necessary to return back to sporting activities.  Our non-operative orthopaedic specialist also treats fractures.  He can treat all types of non-surgical fractures in children.  While he nor the sports medicine specialists require any surgeon supervision, the surgeons are always available to provide assistance and treatment if your child's fracture may benefit from surgery.
  • The Physician Assistants:  The PA's provide the majority of non-operative treatment for the Children's Fracture Center. They are specially trained to treat your childs' broken bones.  There are PA's at every COA location, so that we can provide your child with quality pediatric orthopaedic care at a convenient location and in an expedited fashion.  The PAs are always under the direct supervision of a COA surgeon, and are trained to know which fractures would do best with surgical treatment.  For those cases where there are any potential questions, the COA surgeon oversees the PA and assists with treatment decisions.
  • The Nurse Practitioners:  Two of our three NPs are involved in the Children's Fracture Center.  Kirsten Warnock NP-C functions similar to our PA's.  She sees patients independently and is specially trained to treat children's fractures and injuries. 

Stephanie de Jager, CPNP, serves a unique role at the Children's Fracture Center.  If your child is seen at an emergency room or an urgent care center, and your child is in need for his/her fracture needs to be "set", Stephanie is specially trained to perform these fracture reductions under sedation.  Similar to our other NPs and PAs, she is always under the direct supervision of a COA surgeon.  The sedation is performed by a trained sedation specialist MD, in a special procedures room at Children's Healthcare of Atlanta at Scottish Rite.  In addition, she sees children in the Emergency Room during normal business hours Monday-Friday

  • The Orthopaedic Technicians:  Our COA "cast techs" play a vital role at the Children's Fracture Center.  Most likely, our friendly techs will be the first person your child sees at COA, as he/she often brings you and your child back to the examination room.  They function to apply and remove casts.  All of our techs go out of their way to ensure that you and your childs' experience is as positive as possible.  Check out our facebook page to see some of our more creative casts, including themed and waterproof casts.
  • The X-Ray Technologists:  The COA "x-ray techs" are dedicated to making your childs' experience a good one.  Many children have anxiety about taking x-rays, and our staff work with children on a daily basis. 
  • The Support Staff:  The COA Fracture center would not be able to function without the support of our wonderful schedulers, front desk employees, and our triage nurses.