Orthopaedic traumatology is a subspecialty of Orthopaedic surgery that deals mainly with the treatment of difficult fractures, dislocations and other injuries to the extremities and the pelvis. Orthopaedic traumatologists also have special expertise to deal with the treatment problems and complications that often occur after these difficult injuries.
Fractures can be separated into two types, those that affect the long bones of the body such as the femur ("thigh bone") or tibia ("shin bone") and those that disrupt the joints (intraarticular fractures) such as the knee, hip or elbow. While such fractures can still be treated with casts, splints or bed rest, newer techniques of fracture treatment often allow early mobilization, joint movement (to prevent stiffness) and faster return of function. With fractures of the long bones, complications may include healing of the limb in a short, rotated or angulated position, failure to heal, infection, or persistent pain. With fractures that extend into a joint, the main worries are stiffness and subsequent arthritis. A failure to heal or the development of an infection can also complicate this type of fracture. The expertise of orthopaedic traumatologists is particularly suited to treat open ("compound") fractures, intraarticular fractures and fractures of the pelvis and the foot.
The three trauma specialists in our department are all experienced in managing these complex injuries as well as problems or complications that may arise from their care. Their expertise also includes the care of infected fractures (including those needing vascular, nerve and plastic surgical procedures) as well as problems that occur when fractures fail to heal or heal incorrectly in a shortened position. Other areas of expertise are pediatric fractures and the evaluation of patients who have pain or limping after having sustained an injury to one of their extremities.
Dr. Sirkin has a special interest in severe fractures of the ankle and heel bones and also in the treatment of bone infections after other fracture surgeries.
Dr. Reilly has a special interest in treatment of fractures of the hip socket (acetabulum) and pelvis as well as in the reconstruction of hip and pelvis problems resulting from old fractures or adult hip dysplasia.
Dr. Adams' clinical interests include complex fractures of the upper and lower extremities, complications, and post-traumatic reconstruction.
All three of our specialists are members in the Orthopaedic Trauma Association and are prominent authors and lecturers on the subject of fracture care and treatment.
Mark Adams, MD
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