David G. Little is a Pediatric Orthopedic Surgeon based in Sydney, NSW, Australia. He helps children and young people with bone and joint problems, especially when growth and movement are at stake. Paediatric orthopaedics can be tough for families, and the care needs to feel steady and clear from day one.
David’s work covers a mix of long-term conditions and problems that show up after an injury or infection. In many cases, he looks after hips and growth issues, including Legg-Calve-Perthes Disease (LCPD) and Slipped Capital Femoral Epiphysis (SCFE). He also treats foot and limb issues such as clubfoot, and he works with children who have genetic conditions like Neurofibromatosis and Neurofibromatosis Type 1 (NF1).
Some children he sees have conditions where nerves and muscles affect movement, including Charcot-Marie-Tooth Disease. Others have weaker bones or bone formation issues, such as Osteogenesis Imperfecta. At times, he also treats problems linked to tissue death in bones (like osteonecrosis), and needs a plan that protects the area while the child is still growing.
Infections are another part of the picture. David treats infectious arthritis and both osteomyelitis and septic arthritis, where quick assessment and treatment matter. He also deals with situations involving necrosis and other complications that can happen inside joints or bone.
He may recommend surgery, depending on what the child needs. This can include procedures like osteotomy and bone graft, as well as care for more complex problems that may require spinal fusion. For some conditions, the goal is to improve comfort, movement, and long-term function, not just fix the problem that shows up first.
Over time, David’s approach focuses on practical, evidence-based decisions that fit each child’s condition and how they’re growing. Because paediatric care changes as new research comes out, he keeps up with current practice and uses what helps in real life. Clinical trials aren’t listed here, but when trials are relevant, they can be considered through the right clinical pathways.
For families in Sydney, having one clear team to help guide choices can make a big difference. David Little’s role is to bring that paediatric orthopaedic care together, from diagnosis through treatment and follow-up.