252017Oct

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…

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252017Oct

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…

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252017Oct
Fingertip V-Y – Franko

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…

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252017Oct
Scaphoid ORIF – Franko

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…

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252017Oct
Metacarpal IM Screw – Franko

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…

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252017Oct
DRFx Wire under Plate – Franko

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…

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252017Oct

Distal Humerus – Franko

History: 60 year-old male who injured his left elbow while riding his bicycle.  He went to the hospital where he was diagnosed with a severe fracture of the elbow that included the joint surface.  He he also had some arthritis in the elbow prior to his fall but it was not very bothersome to him.  Diagnosis: Left complex…

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252017Oct
Scaphoid Non-Displaced – Franko

Scaphoid Non-Displaced – Franko

History: 52 year-old male who fell directly onto his right hand with pain and swelling. An initial X-ray was negative for fracture in the Emergency Department. He was evaluated by Dr. Franko who recognized a subtle scaphoid fracture and recommended either non-operative (cast) or operative (surgery) treatment. Because the patient desired a faster return to…

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252017Oct

DRFx Fragment Specific – Franko

History: 64 year-old female who was in a motor vehicle accident and admitted to the hospital for severe injuries including a fracture of the distal radius and distal ulna (wrist) on her left wrist. X-rays and CT scans showed a severe wrist fracture with intra-articular impaction, displacement and angulation resulting in severe pain, swelling, and deformity….

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162017Sep
P1 Derotation Osteotomy – Franko

P1 Derotation Osteotomy – Franko

History: 21 year-old female who fractured her left index finger in a car accident 2 years ago.  She was treated without surgery which resulted in the bone healing with a rotational deformity.  She notices that her index finger crosses over her other fingers when she makes a fist.  Diagnosis: Left index proximal phalanx rotational malunion Treatment: Left index…

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162017Sep
Thumb Amputation FDMA Flap – Franko

Thumb Amputation FDMA Flap – Franko

History: 25 year-old male injured his left thumb using a table saw resulting in an amputation of the thumb at the level of the interphalangeal joint. X-rays showed a partial thumb amputation.  He came to the emergency department with pain, disability, and bleeding.  Diagnosis: Left thumb amputation at interphalangeal joint Treatment: First dorsal metacarpal artery island flap…

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