Orthopedic Program

SAH Orthopedic Surgeons

Dr. Michelle Cheong


Dr. Y. Michele Cheong, MD FRCSC

Suite 125, 955 Queen Street East
Sault Ste. Marie, Ontario P6A 2C3
Administrative Assistant: Eby Gioia

Dr. Michele Cheong completed her medical training at University of Manitoba, in Winnipeg, Manitoba. She rotated through the internship program in Victoria, BC before completing the orthopaedic training program at University of Manitoba.

She has been in practice in Sault Ste Marie since 1999. Her clinical interests are in general orthopaedics, specifically in hip and knee replacements. No spine practice.


Dr. Darren Costain



Dr. Darren Costain

955 Queen St. E, #100, SSM, ON P5B 2S5 
Office: 705-942-5789

Dr. Darren J. Costain was born and raised in the small Maritime town of Riverview, New Brunswick. He attended Dalhousie University in Halifax, Nova Scotia, where he obtained a Bachelor of Science degree in Microbiology & Immunology (with honours), Master of Science degree (Pathology), Bachelor of Science in Medicine, and Doctorate of Medicine (with distinction). He subsequently completed his residency training in Orthopaedic Surgery in Halifax. As an orthopaedic surgery resident, he was successful in obtaining research funding for a basic science project in cancer immunotherapy. He was also awarded the Excellence in Teaching Award for the Department of Surgery as a senior resident.

In 2007, Dr. Costain travelled to Brisbane, Australia, to complete subspecialty fellowship training in complex hip and knee arthroplasty. There, he worked under Dr. Ross Crawford to learn proper cementation technique, revision arthroplasty expertise, and specifically impaction allograft reconstruction techniques to address complex bone deficits at the time of joint replacement surgery. He moved to Sault Ste. Marie in 2008 with the goal of pursuing a career in total knee and total hip reconstruction.

Dr. Costain’s research interests include the use of tranexamic acid in hip fractures (peer reviewed grant funding of $50 000), the use of bone graft with orthopaedic surgery, and computer assisted surgery. Together with the Orthopaedics Division at the Sault Area Hospital, Dr. Costain is attempting to establish a niche of excellence in clinical research. Dr. Costain values teaching, and enjoys being involved with exposing students at various levels of training to orthopaedic surgery.

Professional Memberships
• Canadian Arthroplasty Society, 2012-present
• Canadian Orthopaedic Association, 2005-present
• ATLS instructor, 2003-2008
• American Arthroscopy Association of North America, 2003-2006
• Canadian Medical Association, 1998-present
• Nova Scotia Medical Association, 1998-2008
• New Brunswick Medical Association, 2000-2003
• Canadian Society for Immunology, 1997-1998, 2002
• Quality Based Procedure Hip Fracture, SAH physician representative, 2014-present
• Meditech Advisory Committee, Sault Area Hospital, 2014-2016
• Morbidity and Mortality Quality Assurance Committee, Sault Area Hospital, 2010-present
• Orthopaedic Surgery Journal Club, 2007-present
Costain, DJ, Whitehouse, SL, Pratt, NL, Graves, SE, Ryan, P, and Crawford, RW. 2011. Perioperative mortality after hemiarthroplasty related to fixation method. ACTA Orthopaedica 82(3):275-81

Costain, DJ, Crawford RW. 2009. Fresh-frozen vs. irradiated allograft bone in orthopaedic reconstructive surgery. Injury 40(12):1260-4

Costain, DJ, Oxner, W, Alexander, D, and Gross, M. 2007. Dalhousie University Spine Database: Prospective analysis of disability, pain, depression, and patient-perceived influence of referral delay on outcome. Canadian Orthopaedic Association Annual Meeting (Abstract)

Costain, DJ, Gross, M, Dunbar, M, and Lee, TDG. 2007. Osteolysis in cancer: A role for the genetic manipulation of RANK expression. Canadian Orthopaedic Association Annual Meeting (Abstract)

Costain, DJ, Guha, AK, Liwski, RS, and Lee, TDG. 2001. Murine hypodense eosinophils induce tumor cell apoptosis by a granzyme B-dependent mechanism. Cancer Immunol. Immunother. 50(6):293-99

Costain, DJ, Guha, AK, and Lee, TDG. 1998. Granzyme-B-mediated apoptosis: A novel tumoricidal mechanism of hypodense eosinophils. Clin. Invest. Med. 21(4) (Abstract)

Costain, DJ. 1998. Eosinophils in cancer: Mechanisms and machinery for cytotoxicity. Dal. Med. J. 26(1):14-24

Costain, DJ, Guha, AK, and Lee, TDG. 1998. Comparison of hypodense and normodense eosinophil anti-tumour cytotoxic activity. 12th Spring Meeting of the Canadian Society for Immunology. (Abstract) 4.8

Costain, DJ, Kennedy, R, Ciona, C, McAlister, VC, and Lee, TDG. 1997. Prevention of post-surgical adhesions with N,O-carboxymethyl chitosan (NOCC): Examination of the most efficacious preparation and the effect of NOCC on post-surgical healing. Surgery 121:314-9

Kennedy, R, Costain, DJ, McAlister, VC, and Lee, TDG. 1996. Prevention of experimental post-operative adhesions by N,O- carboxymethyl chitosan. Surgery 120:866-70


Dr. Graham Elder






















Dr. Graham Elder 

Assistant Professor, Northern Ontario School of Medicine
Clinical Director Orthopaedic Surgery, Sault Area Hospital
Administrative Assistant: Lori Suurna
Office Manager: Andrea Reibmayr

Primary Office
Doctors Building, Suite 120
955 Queen Street East
Sault Ste.Marie
Ontario, P6A 2C3
Tel: 705 253-8536
Fax: 705 253-0048

Secondary Offices/Clinics
  1. Wawa Lady Dunn Hospital
    1. Thursday and Friday once per month from May to Oct
    2. Call Lori Suurna in SSM for appointment (705 253 8536)
  1. Blind River District Health Centre
    1. Friday once per month from May to Oct
    2. Call Shelly at BRDHC for appt (705 356 2265, local 2380)

Clinical Interests
General orthopaedics (i.e. shoulder, elbow, hip, knee, ankle, foot, etc)
Focus on: Wrist pathology (including thumb cmc oa)
Primary hip, knee and shoulder replacements
No spine practice.
Educational Background
Fellowship Wrist pathology, McGill university – 2000
Orthopaedic Surgery residency, McGill university – 1995-2000
Doctor of Medicine (M.D.,C.M.), McGill university – 1991-1995
B.Sc. Physical Therapy, McGill university – 1984-1988
Associate Editor, Canadian Journal of Surgery – 2010 to present
Clinical director Orthopedic Surgery, Sault Area Hospital – 2009 to present
Royal College Examiner, Royal College of Physicians and Surgeons of Canada – 2005 to 2009
Assistant Professor, Northern Ontario School of Medicine, 2005 to present
Staff Orthopaedic Surgeon, Sault Area Hospital – 2000 to present
Staff Physiotherapist, Montreal General Hospital – 1988-1992
  1. Elder GM, Entwistle BMJ, Reindl R, Berry GK, Harvey EJ: Outcomes in hemiarthroplasty for hip fractures: Community versus tertiary orthopedic settings. Pending submission.
  2. Lemos D, Nilssen E, Khatiwada B, Elder GM, Reindl R, Berry GK, Harvey EJ: Dedicated orthopedic trauma theatres: effect on morbidity and mortality in a single trauma centre. Can J Surg. 2009 Apr;52(2):87-91.
  3. Elder GM, Harvey EJ, Vaidya R, Guy P, Meek RN, Aebi M: The effectiveness of orthopaedic trauma theaters in decreasing morbidity and mortality: A study of 701 displaced subcapital hip fractures in two trauma centers. Injury. 2005 Sep;36(9):1060-6.
  4. Elder GM, Harvey EJ: Hand and wrist tendon injuries. Chapter 15: Tendon Injuries:Basic Science and Clinical Medicine. Editors: Maffuli N, Renstrom P, Leadbetter W. Publishers: Butterworth Heinemann. 2005:137-49. 
  5. Elder GM, Harvey EJ: Imaging in musculoskeletal trauma: The value of magnetic resonance imaging for traumatic pediatric hip dislocations. Can J Surg. 2004 Aug;47(4):290-91.
  6.  Alobaid A, Harvey EJ, Elder GM, Lander P, Guy P, Reindl R. Minimally invasive dynamic hip screw: prospective randomized trial of two techniques of insertion of a standard dynamic fixation device. J Orthop Trauma. 2004 Apr;18(4):207-12.
  7. Elder GM, Harvey EJ: Quadriplegia after Upper Extremity Trauma: A Case Report. J Trauma. 2000 Oct;49(4):767-70.

Dr. Brian Fraser













Dr. Brian P. Fraser, MD, FRCSC

Administrative Assistant: Jacklyn Cook
Office Manager: Cheryl Harvey
Primary Practice Location:
Doctors Building
Suite 108
955 Queen Street East
Sault Ste Marie, ON
Tel: 705-450-0117
Fax: 705-450-0119
Secondary Practice Location(s):
St. Joseph's General Hospital
70 Spine Road
Elliot Lake, ON P5A1X2
- Clinic held one day per month
- Contact outpatient specialist booking clerk: Tracey Morano 705-848-7192 Ext 2266
Dr. Brian Fraser hails from St. Thomas, Ontario where he was raised before completing his undergraduate degree at the University of Western Ontario where he received his Honours Bachelor of Medical Sciences Degree in Microbiology & Immunology with Distinction. Additionally he was awarded the Gold Medal for highest overall academic standing in 4th year. Following this he completed his Doctor in Medicine from the Michael G. DeGroote School of Medicine at McMaster University in Hamilton Ontario. Dr. Fraser then returned to London in 2007 to complete his Orthopaedic Surgery residency at the University of Western Ontario. After completing residency, he completed a fellowship in Orthopaedic Trauma Surgery at UWO. Dr. Fraser and his wife moved to Sault Ste. Marie in 2013.

Clinical Interests:
- Orthopaedic Trauma Surgery
- Hip and Knee Arthroplasty
- Orthopaedic Foot & Ankle Reconstruction

Dr. Brad Slagel

Dr. Brad Slagel

Group Health Centre
240 McNabb Street
Sault Ste. Marie, ON
P6B 1Y5
ph: 705-759-1234
fax: 705-759-5683 
Nurse: Lori McNama

Dr. Brad Slagel received his undergraduate science degree at Queen’s University in Kingston.  Following this he studied medicine at the University of Toronto and then returned to Queen’s University to pursue orthopaedic surgery training.  Once having finished his orthopaedic surgery residency he went to London, Ontario to the Fowler Kennedy Sport Medicine Clinic where he completed a surgical Sport Medicine Fellowship, specializing in arthroscopic treatment of shoulders and knees.  From there he then completed an Orthopaedic Trauma Fellowship at the University of Ottawa.

Dr. Slagel has been practising in Sault Ste. Marie since August 2010.  His practice is focussed on arthroscopic treatment of shoulders and knees, as well as total knee replacement. 


Dr. Adrienne Kelly











Dr. Adrienne M. Kelly, MD, FRCSC, CIME

Assistant Professor, Northern Ontario School of Medicine
General Orthopaedic and Adult Spine Surgeon, Sault Area Hospital
Special interests:  Adult spinal pathology, total hip and knee arthroplasty 

Administrative Assistant:  Nadia Malo
#220-955 Queen St. East
Sault Ste. Marie, ON, P6A 2C3
p: (705) 450-6105
f: (705) 450-6104
Fellowship:  University of British Columbia, Vancouver, BC, Adult Spine Fellowship, 2011-2012
Residency:  Dalhousie University, Halifax, NS, Orthopaedic Surgery, 2006-2011
Medical School:  University of Western Ontario, London, ON, 2002-2006
Research interests:  spinal adverse event reporting, biomechanics, biologics/spinal fusion, cervical spondylotic myelopathy.