Fracture Surgery

Bones are ridged but when an outside force is applied, they can bend or break. While splinting or casting is enough for many fractures, severe breaks may require fracture surgery.

Fracture surgery is dependent on the force of trauma and how the bone breaks. In some cases, it can take several weeks to several months to heal depending on the extent of the injury. Pain usually stops long before the fracture has healed enough for you to regain normal activity. It is not uncommon to lose some muscle strength in the injured area while you recover. Our physical therapists will work with you to develop a recovery plan including exercises designed to help you restore normal muscle strength, joint motion, and flexibility.

Most fracture surgeries can be performed on-site at North Pointe Surgery Center. Our state-of-the-art surgical facilities include orthopedic surgical rooms, pre and post-operative rooms, and pain management services.

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  • Closed reduction surgery when the fracture has displaced or is angulated. This procedure uses a hematoma block to inject local anesthesia into the fracture site.
  • Reduction internal fixation surgery when the fracture is in several pieces. Bone fragments are repositioned into their normal alignment and a plate is placed over the fracture site. Screws or pins are used to hold the plate to the surface of the bone. In some cases, a metal rod, also known as an intramedullary nail, may be inserted down the center canal of the bone.
  • Open reduction internal fixation when the skin and other soft tissue around the fracture are badly damaged. In this case, an external fixator may be applied until surgery can be tolerated. Metal pins are placed in the bone above and below the fracture site. These pins are then connected to a metal bar outside the skin. This acts as a stabilizing frame that will hold the bones in proper position while they continue to heal.
  • External fixation when immediate stabilization is required. Metal pins are placed in the bone above and below the fracture site. These pins are then connected to a metal bar outside the skin. This acts as a stabilizing frame that will hold the bones in proper position while they continue to heal.
Fracture Surgery Providers

Adam E. Hyatt, M.D., FAAOS

Sports Medicine, Hip

Adam T. Griska, M.D.

Hand & Wrist, Elbow

David D Sieger, M.D.

Foot & Ankle, Knee

Gregory A. Tocks, D.O.

Joint Replacement

James H. Carson, M.D.

Trauma, Joint Replacement

Joel A. Horning, M.D.

Sports Medicine

Kathryne J. Stabile, M.D., M.S.

Sports Medicine, Shoulder

Michael W. Gish, M.D.

Sports Medicine

Paul F. Carroll, M.D.

Sports Medicine, Knee

Vincent Battista, M.D.

Hand & Wrist, Elbow
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  • Great experience at Orthopedic Urgent Care at OAL Lancaster. Friendly and efficient receptionist, assistant and x-ray tech. Scott, the PA-C was phenomenal. Very personable, caring and knowledgeable. Diagnosed, gave thorough explanations and treated my condition promptly and effectively. 
  • I have had very good experiences with OAL they diagnosed the problem and moved forward with a total hip replacement.Thank youu for helping me get around easier, I would recommend this practice for people in need of orthopedic problems!
  • My doctor and staff took the time to explain the cause and treatment I would receive. Very professional!
  • The OAL staff is always friendly and polite. Your diagnosis and treatment are explained in great in detail, so you truly understand what is going on. They also go above and beyond with insurance to get things preapproved, I would never go to another place.
  • I knew I dislocated my finger when it was sticking out at a 45° angle from my hand. I thought I got it back into place, but was very grateful to have OAL‘s urgent care facility to go to to confirm. X-rays confirmed that it was still out of place and that there was also a fracture. I was then scheduled for an appointment with the hand specialist Dr. Griska five days later. I love having the option of an urgent care with orthopedic staff. Thank you OAL!
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