Case Presentation: A 36 year old gentleman sustained a wrist injury while running and falling but xrays at the time were reportedly negative for a fracture. He was given a splint but had continued and persistent pain and swelling. He came to my office 6 months later and xrays and a CT scan showed a dislocated…
Distal Radius – 3 plates with Hardware Removal
Case Presentation: 30 year old gentleman injured his distal radius (wrist fracture) while snowboarding. He had a severe fracture with separation of the lunate and scaphoid facet fragments. Intra-operative fixation required individual fragment specific plating with screws, wires, and plates. The fracture healed in a reasonable position, and the plates were taken out once healed due…
Complex Hand and Forearm Motorcycle Accident – Franko
History/Diagnosis: This patient sustained a very severe motorcycle accident with open injuries to the forearm, wrist, hand, and fingers. There were fractures of the ulna, radius, ulnar styloid, thumb dislocation, metacarpals, and CMC joints. I took her to the operative room for extensive surgery to repair and reconstruct all of the injuries. Treatment: Complex repair of all…
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…
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. …
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…
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…
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…
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…
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…