Wrist fracture

A 65-year-old male was a restrained driver of an automobile struck by another vehicle in a head-on collision while on vacation overseas. He sustained a left-sided wrist fracture and was taken to a local hospital for initial care.

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Tibial plateau (knee) fractures

A 61-year-old female was hiking in the mountains when she slipped and fell onto her left lower extremity. She was taken to a local hospital and radiographs revealed a left-sided Schatzker II tibial plateau fracture (split with depressed fragment) and she was referred to us one day following her injury for definitive treatment.

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Stress fractures

A 20-year-old competitive track and field athlete at the collegiate level presented to us following an 18-month history of insidious onset of right-sided shin pain.

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Shoulder fractures

A 20-year-old male was walking across an intersection and was stuck by a car that went through a stop signal. He fell onto his outstretched left upper extremity was taken to the Orthopaedic Trauma Service at the Hospital for Special Surgery and placed under the care of David L. Helfet, MD for evaluation and treatment of his injuries.

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Pelvic fractures

A 13-year-old schoolgirl was struck by a car moving at about 25 miles per hour. She was thrown some distance, but did not lose consciousness and was taken to a local trauma center.

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Pathologic fractures

A 70-year-old male slipped and fell while skiing landing on his outstretched right arm. Radiographs at the local hospital revealed a right-sided pathologic mid-shaft humeral fracture and evidence of lytic lesions on the humeral head.

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Patella fractures (knee)

A 39-year-old female slipped and fell while walking on ice onto her left lower extremity and left knee. Radiographs taken in our Emergency Department revealed a left-sided transverse patella fracture.

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Open fractures

A 49-year-old male was involved in a high-speed motor vehicle accident and sustained an open distal femur fracture. He was taken to a local hospital and radiographic examination revealed a right-sided (open) complex distal femur fracture a medial butterfly fragment, comminution and intra-articular extension.

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Monteggia fracture-dislocations

A previously healthy female, 53-years of age, fell when she tripped while carrying a laundry basket down steps landing on the dorsal aspects of her flexed elbows, and had immediate pain in both upper extremities.

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Fractures with osteoporosis

A 48-year-old female was referred to Dr. David L. Helfet 2 days following a fall from a standing height onto her left upper extremity.

Radiographs revealed a periprosthetic fracture above a cemented total elbow replacement and below a cemented humeral component of a total shoulder replacement. Her history was also significant for osteoporosis.

Open reduction and internal fixation (ORIF) was performed with placement of a 3.5mm extra-articular distal humeral locking plate posterior-laterally and a 3.5mm reconstruction plate along the medial column in a 90-90 construct with multiple interfragmentary lag screws.

She returned for routine follow-up and at 7 months radiographs illustrate a healed periprosthetic humerus fracture and she has returned to activities of daily living with resolution of pain.

  • Figure A

    Figure A

    Anteroposterior (AP), oblique and lateral radiographs revealing a periprosthetic humerus fracture between a cemented long stemmed humeral component and a cemented standard length elbow component.

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  • Figure B

    Figure B

    Anteroposterior and lateral fluoroscopic images demonstrating adequate fixation and alignment following open reduction and internal fixation. Radiographs at 7 months postoperatively demonstrate a healed periprosthetic humerus fracture.

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*Carroll EA, Lorich DG, Helfet DL: Surgical management of a periprosthetic fracture between a total elbow and total shoulder prostheses: a case report. J Shoulder Elbow Surg. 2009 18(3):e9-12.

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Fractures in adolescents

A 13-year-old girl fell while skiing and was taken to a local hospital. Radiographs were obtained and revealed a right-sided Anterior Column with Posterior Hemi Transverse acetabular fracture.

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Fracture treatment in older patients

A 63-year-old female fell from a standing height. Radiographs taken at the outside hospital revealed an Anterior Column Type acetabular fracture with displacement of the quadrilateral surface and medial femoral head protrusion.

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Foot fractures

A 49-year-old male fell 8 feet from a ladder onto his right foot. He was brought to the Orthopaedic Trauma Service with complaints of right foot pain and radiographs revealed a right-sided, displaced and comminuted intra-articular calcaneus (heel bone) fracture.

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External Fixation in Fracture Treatment

A 34-year-old member of the New York Fire Department (NYFD) was fighting a fire on the 4th floor of an apartment building. His fire unit was rapidly overcome by the spreading blaze and had no little choice but to jump from the building.

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Elbow fractures

A 19-year-old female fell while bicycling at a high speed and sustained an open fracture (Grade IIIA) of the distal humerus and presented through the New York Presbyterian Emergency Department.

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Distal tibia (pilon) fractures

A 42-year-old male slipped and fell approximately 14 feet while working on a ladder onto his right lower extremity.

He was taken to our Emergency Department and radiographs revealed a right-sided displaced distal tibial pilon fracture with extensive articular comminution and associated displaced fibula fracture with significant soft tissue swelling.

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Complex fractures

A 17-year-old male driver of an automobile was involved in a head-on collision with a tractor trailer. After being trapped inside the vehicle for approximately one hour, he was extricated and flown to a local trauma center along with the other passengers who sustained injuries of a lesser severity.

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Chronic pelvic pain following childbirth

A 32-year-old female was referred to us 3 days after natural vaginal delivery (of her second child) at an outside hospital. Delivery of her first child was uncomplicated. The second pregnancy and delivery were also uncomplicated.

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Cartilage injuries

A previously healthy 18-year-old male was involved in a motor vehicle accident as a belted driver whose automobile struck a pole and was taken to a local hospital where evaluation revealed an isolated Pipkin IV Type postero-superior fracture-dislocation of the right hip.

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Calcaneous fractures (foot)

A 47-year-old male fell from a ladder onto his left lower extremity. He was taken to a local hospital and radiographs revealed a left-sided, displaced, intra-articular calcaneous fracture with a depressed articular segment and he was referred to us one day following his injury for definitive treatment.

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Ankle fractures

A 50-year-old female fell approximately 3 feet from a step ladder. She presented to us with a bimalleolar ankle fracture placed in a cast by the referring hospital.

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Acetabular fractures (hip socket)

A 34-year-old male was a passenger in an automobile that collided with another vehicle at high-speed. There was a lateral impact on the passenger side door. He was taken to the local trauma center for initial assessment where he was diagnosed with a right-sided Anterior Column Posterior Hemitransverse acetabular fracture.

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Our Patients

  • “I will be forever grateful to these amazing doctors.”

    ~ Olivia D’Angelo

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  • “I was able to return to my passion, which was skiing big mountains.”

    ~ Tim DiPietro

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  • “They were able to piece me back together where others were not.”

    ~ J. D. Pelaez

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  • “It is thanks to them that my pain is kept under control and that I am walking again today.”

    ~ Anika Vorndamme-Cajigal

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  • “We could not have wished for a better outcome given a very severe and untimely injury.”

    ~ James DeSousa

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  • “They are a huge part of the progress I have made.”

    ~ Larry Nipon

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  • “Most definitely worth traveling across the country!”

    ~ H. Hope Hamill

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David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 
212-606-1888

Dean G. Lorich, MD
212-746-4509

David S. Wellman, MD
212-606-1504