The TOPPS division is comprised of four sections: Trauma, Oncology, Pediatric Orthopaedics, and Hip Preservation.

Trauma Section
The Duke Orthopaedic Trauma Section treats patients with severe injuries to the bones and joints, as well as their associated nerves, muscles, and other soft tissues. The Duke Orthopaedic Trauma Section is led by Steven Olson, MD. 

Orthopaedic Oncology Section
Duke’s sarcoma specialists are nationally recognized for their diagnosis and treatment of sarcomas, rare cancers that occur in bones and soft tissues. Our experts offer the latest treatment options available today, preserve healthy tissue and bone, and perform comprehensive limb-sparing surgeries to avoid the need for amputation. 

The Orthopaedic Oncology Section is led by Dr. Brian E. Brigman. With the expertise to identify the type of sarcoma, our physicians provide the latest treatments available for these rare cancers, including high-dose radiation that specifically targets soft tissue sarcoma or bone cancer, limb-sparing surgeries. Using advanced imaging technology that pinpoints the location of your tumor and helps distinguish it from healthy tissue. The team works to give you access to every possibility and minimize the chances of undergoing an amputation.

Pediatric Orthopaedics Section
For children from birth to early adulthood, the pediatric orthopaedic physicians and specialists at Duke Children’s Hospital and Health Center provide the highest quality treatment and care for a broad spectrum of congenital, developmental, and traumatic disorders affecting bones, soft tissues, joints, and the neuromuscular system.

Hip Preservation Section
The Hip Preservation Section is led by Dr. Steven A. Olson. Duke hip preservation surgeons perform hundreds of hip preservation surgeries annually to reduce hip pain and restore normal hip function. When painful hip conditions such as hip dysplasia and hip impingement are diagnosed early, the physicians at Duke Orthopaedics are among the few orthopaedic specialists in the country to use complex hip preservation techniques to help reduce the risk for premature arthritis and hip replacement surgery in later years.