History: 31 year-old male had a crush injury to his right middle finger. He worked as a registered dental assistant and it was important that he could return to wearing gloves and working as quickly as possible. X-rays showed a comminuted fracture of the proximal phalanx (finger) with more than 25 degrees of angulation in the…
Distal Humerus ORIF – Franko
History: 51 year-old male cyclist who was hit by a car and came to the hospital as a trauma. He was found to have a severe elbow injury consisting of a comminuted intra-articular fracture of the distal humerus at the elbow. Based on the severe injury I recommended fixation. Diagnosis: Right complex intra-articular distal humerus fracture…
Distal Radius ORIF – Franko
History: 62 year-old male fell in his backyard injuring his right wrist. X-rays showed a wrist fracture with displacement and angulation resulting in severe pain, swelling, and deformity. Diagnosis: Right distal radius fracture Treatment: Open reduction and internal fixation with plates and screws Outcome: At 6 weeks after surgery he had regained nearly all motion, was still working on increasing…
4th/5th MC Dislocation – Franko
History: 20 year-old male punched a wall with his right fist and had immediate pain and swelling over the the dorsal and ulnar aspect of the hand and wrist. X-rays demonstrated a fracture of the hamate bone with the 4th and 5th metacarpal bones dislocated dorsally. Live flouroscopic imaging in the office demonstrated that they…
Wrist Fracture (severe) – Franko
History: 24 year-old female Warriors dancer fell at work and injured her left wrist. She presented to the hospital and was diagnosed with a severe distal radius fracture (wrist fracture). After undergoing a closed reduction (re-alignment of the bones) in the emergency room, Dr. Franko recommended surgery to provide strength and stability to the bones…
Olecranon Wireform ORIF – Franko
History: 75 year-old male who fell and injured his hip and elbow. X-rays demonstrated a fracture of his olecranon at the elbow and he was indicated for surgery. Diagnosis: Left olecranon fracture Treatment: Left olecranon open reduction internal fixation with plate and tension wire Outcome: Within 3 months he was fully healed with nearly symmetric range of motion and…
Fingertip V-Y – Franko
History: 39 year-old female who amputated the tip of her left middle finger while doing her hobby of leather crafting. An emergency department cauterized the end of her finger to stop the bleeding and Dr. Franko saw her in the office for treatment. She had loss of the soft tissue with exposed distal phalanx. Diagnosis: Left long…
Scaphoid ORIF – Franko
History: 23 year-old male who came to my office with pain in his wrist about 3 months after a fall. At the time he thought he only sprained his wrist. X-rays in the office showed a scaphoid non-union (not healed) causing his pain. Due to concern about long-term development of arthritis and pain, he elected to…
Metacarpal IM Screw – Franko
History: 30 year-old right-hand dominant male Sheriff impacted his left hand on concrete while wrestling a suspect. He had immediate pain and swelling over the base of the index finger. X-rays showed a metacarpal fracture with displacement and angulation resulting in severe pain, swelling, and deformity. Diagnosis: Left 2nd metacarpal fracture, displaced Treatment: Percutaneous reduction and internal fixation with an…
DRFx Wire under Plate – Franko
History: 46 year-old male who was injured while skateboarding on Christmas Eve. He presented to the hospital with severe pain and deformity in his left wrist. X-rays showed a severe wrist fracture with intra-articular impaction, displacement and angulation resulting in severe pain, swelling, and deformity as well as a displaced ulnar styloid base fracture. Diagnosis: Left…