92018Jan

Flexor Tenosynovitis – Franko

History: A 55 year old female with diabetes presented to my office with severe pain and swelling in her middle finger a few days after burning the tip of her finger.  This was initially treated with antibiotics for cellulitis however she rapidly progressed to flexor tenosynovitis based on the appearance and was taken to the operating…

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92018Jan

Segmental Galeazzi ORIF – Franko

History: 24 year old gentleman presented to the hospital after crashing his motorcycle.  He had obvious deformities to his right forearm and wrist.  I evaluated him and recommended surgery for his complex radial shaft and DRUJ injuries. Intra-operatively he was found to have multiple shaft fractures, further complicating the surgery.  Diagnosis: Right wrist and forearm Galeazzi fracture…

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92018Jan

Open Galeazzi – Franko

History: 58 year old male was hit by a vehicle and presented to the hospital with obvious open deformities of his right forearm and wrist.  He was diagnosed with an open radial shaft fracture and instability of the distal radioulnar joint.  Diagnosis: Right open Galeazzi fracture Treatment: Open reduction, internal fixation of the radius with a combination of plates…

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192017Dec

Radius and Ulna Shaft ORIF – Franko

History: 25 year old male injured his left forearm and fractured (broke) his radius and ulna. He was splinted in the emergency department and presented to my office for further evaluation. His job includes very heavy lifting and his priority was to return to work as soon as possible. Diagnosis: Left radius and ulna shaft fractures…

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52017Dec

Mallet Finger CRPP – Franko

History: 31 year old female administrator injured her finger about 3 weeks prior to seeing me in the office.  She had a fracture-dislocation of the finger tip, also known as a mallet finger or mallet fracture with dislocation. I recommend surgical treatment.  To avoid making an incision, I recommended percutaneous pin treatment.  Diagnosis: Right ring finger…

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52017Dec

Essex Lopresti ORIF – Franko

History: 53 year-old male presented to the hospital after falling from a roof.  He had a severe injury to his right elbow and pain at his wrist. X-rays showed an intra-articular radial head fracture as well as a dislocation of the distal radioulnar joint at the wrist, also known as an Essex-Lopresti injury.  I recommended…

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52017Dec

Olecranon Sled – Franko

History: 47 year old woman sustained an elbow injury when she was hit by a car while riding her bicycle.  She went to urgent care and was found to have an olecranon (elbow) fracture.  As a yoga instructor, it was very important to her that any treatment would allow her to continue doing yoga and would not…

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52017Dec

Humerus Nonunion ORIF – Franko

History: 53 year-old female came to my office 5 weeks after an injury to her right arm below the cement from a prior shoulder replacement.  She was initially treated by a different surgeon but referred to me after she failed to show any healing and was having a lot of pain after nearly a month and…

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52017Dec

Olecranon ORIF Plate – Franko

History: 79 year old gentleman sustained an elbow injury when he fell from his bicycle.  He went to the emergency department where he was diagnosed as having an olecranon fracture.  I met him in the emergency department to discuss surgery.  Diagnosis: Right olecranon fracture Treatment: Olecranon open reduction and internal fixation with plates and screws Outcome: Within 3 weeks hhe…

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52017Dec

Humerus ORIF – Franko

History: 29 year old female sustained multiple injuries after a car accident, including a right comminuted humerus fracture.  She was admitted to the hospital for treatment.  Diagnosis: Right comminuted humeral shaft fracture Treatment: Humerus open reduction and internal fixation with plates and screws Outcome: Within 3 weeks she had near full motion and no pain.  The scar was fully…

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312017Oct

Distal Radius Osteotomy – Franko

History: 55 year old female had sustained a left wrist fracture 3 months prior to coming to my office.  A different surgeon treated her with a cast for 6 weeks followed by brace.  For the prior 2 months however she had progressive pain, swelling, and numbness/tingling in her wrist and fingers suggestive of carpal tunnel syndrome. …

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312017Oct

Nail Bed Avulsion – Franko

History: 18 year old male injured his index finger after dropping a 60-pound weight at the gym.  He presented to the emergency department for an open injury with an avulsed nail and nail bed laceration.   Diagnosis: Right index finger open distal phalanx fracture with nail bed laceration and nail avulsion Treatment: Repair of nail bed and replacement of…

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