Fractures

Mr. Grieve is a member of AO Trauma, an international community of trauma and orthopaedic surgeons and others dedicated to delivering knowledge, experience, and evidence to improve patient care and outcomes in the field of musculoskeletal trauma. In 1958 the AO formulated four basic principles to which he adheres:

  • Anatomical reduction
  • Stable fixation
  • Preservation of the bones blood supply
  • Early mobilisation

Below are a summary of the common fractures treated by Mr. Grieve:

UPPER LIMB   More Info...

Clavicle Fracture or Broken Collar Bone
Modern treatment of displaced clavicle fractures is to fix them with a metal plate. Mr. Grieve performs this operation frequently which results in, if possible, a cosmetically more acceptable small scar.
Shoulder Fractures
Many small breaks around the shoulder can be treated without an operation but if some of the important tendons are involved or the fracture is displaced, these can be fixed with specialised screws and plates.
Humerus Fractures
These types of fractures can be treated both with and without an operation depending on the type and demands of the patient.
Elbow Fractures
Fractures around the elbow often need operations to fix them as arthritis can develop as a consequence of displacement of the fragments.
Forearm fractures
Technically the forearm is a joint, and displaced fractures need fixation to ensure proper movement is maintained.
Distal Radius Fractures
These breaks are often called Colles Fractures after Dublin's own Abram Colles who described the deformity of the wrist caused by such an injury. The treatment of these breaks has rapidly developed over the last ten years with the development of specialised, specific fracture and fragment specific metal plates and screws. Depending on the fracture, options include either simple treatment in cast or surgery to fix the bone accurately. Once fixed the wrist can be moved, patients no longer need a cast. They undergo an early mobilisation protocol with a Hand Therapist in order to start using the wrist as normally as possible as quickly as possible.
Scaphoid Fractures
This potentially troublesome bone in the wrist can cause all sorts of problems due to not healing properly. Much time is spent treating these fracture and the complications of same. Mr. Grieve can offer suitable patients percutaneous (minimally invasive) scaphoid fixation through a 4mm incision.
Hand and Finger Fractures
If appropriate, open reduction and internal fixation of the fractures with early mobilisation is offered, as for distal radius fractures.

LOWER LIMB   More Info...

Neck of Femur Fractures/Femur Fractures
These injuries and any complications associated with them are treated.
Knee Fractures
Knee fractures and any complications associated with them are treated. If the fracture involves the knee joint, keyhole surgery (knee arthroscopy) is often used to assess the damaged knee and assist in accurate fixation of the injury.
Ankle Fractures
These injuries are seen and treated with and without surgery as required. Also treated are serious fractures of the Talus bone (on the foot side of the ankle).
Foot Fractures
Any fracture of the foot can be seen and treated.

An Important Note from Mr. Grieve



As per the Hippocratic Oath I firstly endeavour to 'do no harm' by my treatment. However no surgery is without complications and this must be recognised. All my fracture patients will receive follow up by a physiotherapist and/or hand therapist to maximise their results after surgery.