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MUSKOSKELETAL CONDITIONS ARE GENERALLY A FACT OF LIFE.
WE’RE HERE TO TREAT YOURS AT EVERY STAGE.

GENERAL ORTHOPAEDICS

Leaving surgery as the last resort in treating musculoskeletal conditions

Our orthopaedic surgeons are specifically trained to treat musculoskeletal (MSK) conditions, physical problems that affect the bones, joints, muscles, ligaments and tendons. These may include acute painful conditions affecting the neck, back, shoulders and knees as well as muscle strains, ligament sprains and fractured bones. Over one’s lifetime, there is greater than a 50% chance that an individual will experience a condition affecting the MSK system.

We use a process of shared decision-making to find the ideal treatment for each patient.  Where possible, we guide people to recover with self-help strategies and lifestyle recommendations.  The ultimate goal is to resolve the acute condition being evaluated and to create healthy lifestyle modifications to prevent further severe MSK symptoms and conditions. This approach is often equated with “holistic medicine”, but it is simply an understanding that the majority of MSK conditions can be resolved without surgery and with limited use of medications.

Every patient we care for is unique and requires an individualized treatment plan. Our general orthopaedic surgeons can also identify individuals who may benefit from surgery.  If the patient being cared for, and the physician agree, they will be referred to one of the orthopaedic surgery department’s sub-specialists to further discuss surgery.


TRAUMA AND FRACTURES

Pioneers in state-of-the-art approaches to orthopaedic trauma

One in three Americans will require treatment for a broken bone by their 65th birthday, according to a report from the American Academy of Orthopaedic Surgeons (AAOS).  Here at Montefiore, we’re doing more to treat patients of all ages with fractures due to falls and accidents. 

Our state-of-the-art osteoporosis fracture center has a special emphasis on the treatment of fractures in the elderly, where surgeons work side by side with geriatricians, endocrinologists, pain management doctors and orthopaedic nurses to be attentive to the unique challenges our most fragile patients may face.  When the unexpected happens to you or a loved one, we’re here to guide you through the recovery process and ensure you get the best possible result.

BRINGING CUTTING-EDGE FRACTURE CARE TO YOU  

Our surgeons were fellowship-trained at some of the most prestigious trauma centers in the country and world. At these training centers, our team members mastered the most cutting edge techniques in the treatment of complex injuries, with special emphasis on the shoulder, elbow, pelvis, hip and ankle.

Whenever possible, our trauma doctors use small incisions, without compromising the accuracy of bony reconstruction. They use intramedullary nails in many circumstances that surgeons previously could not, often termed “extreme nailing.” Our surgeons push the envelope every day to make sure you get the best surgical care possible. Treatment options to repair fractures are carefully selected depending on the situation

INTERNAL FIXATION WITH INTRAMEDULLARY NAILS

Using just a few small incisions, a titanium rod is inserted into the bone marrow canal to align and stabilize the limb. The rod helps the bone support weight so the patient is able to use the limb quickly.

INTERNAL FIXATION WITH PLATES AND SCREWS

The broken bone is repositioned and stabilized by inserting stainless steel or titanium plates and screws. When possible, a minimally invasive plating technique is used.

EXTERNAL FIXATION

Pins are placed on both sides of a fracture and are connected by carbon fiber rods outside of the body to immobilze the bone. This is often a method used to temporarily stabilize broken bones with concomitant injury to the skin and muscle, or when an infection prohibits the use of internal fixation.

JOINT REPLACEMENT

Some injuries are best treated with techniques of bone and joint replacement using metal alloy implants. This technique is selected to allow early weight bearing, especially in older patients with complex brakes of the cartilage containing parts of bone. Our surgeons are experts in combining internal fixation with joint replacement.

 LEADING THE WAY IN THE TREATMENT OF FRAGILITY FRACTURES  

As we age, our bones lose their strength. When this happens, a simple fall can lead to injuries that can permanently affect function and independence. Some of the most common injuries in those with osteoporosis are fractures of the hip and pelvis. Central to Montefiore’s success in the treatment of these injuries is the multidisciplinary approach. We integrate geriatric medical care, surgical treatment, the treatment of osteoporosis, and regional pain management. Our therapists and orthopaedic nurses are mindful of the unique needs of those with fragility fractures. There are very few places designed this way throughout the country. Here at Montefiore when you have a hip fracture or a pelvis fracture, you’re not just an injury, you’re a person. Our focus is on minimizing risks in this already fragile population, while maximizing potential recovery of function.

Osteoporosis presents a significant challenge to surgeons treating broken bones. The types of breaks that occur in osteoporosis from falls can mimic those that happen from high-speed car accidents in young healthy bone. Metal screws and rods are less effective at holding softer bone. Our surgeons take this challenge on daily and have extensive experience getting the best results.

WE’RE YOUR LAST RESORT – PROBLEM SOLVING DEFORMITY, INFECTION AND LIMB SALVAGE

Being located in the Bronx, Montefiore is often the first stop for those who immigrate to America. Our surgeons often see how injuries are treated, and neglected, around the world, and what happens when modern healthcare is not available. This has given our team vast experience taking on the challenge of broken bones that have healed incorrectly, not healed, or that have developed bone infections.

Finding surgeons to take on these challenging cases can be difficult, but at Montefiore we pride ourselves in giving every arm or leg its best chance for recovery, even if the trauma occurred years ago. We work closely with plastic surgeons and infectious disease doctors to provide integrative care to achieve the best possible results for our patients.

Limb deformity after trauma is the abnormal alignment of limbs caused by prior injury or a shortened arm or leg.  Deformities can also occur naturally due to growth disturbances. Treatment often involves re-breaking bones, and realigning them. This is done with intramedullary nails, growing rods that lengthen the bone internally or external fixation that move bones gradually. Our surgeons take pride in finding the most elegant solution to the most complex problems. 


THE GENERAL ORTHOPAEDICS, TRAUMA AND FRACTURES TEAM