Dr. Mark Gage explains how the University of Maryland's Problem Fracture Program can help patients with fractures that don't heal properly. 

Surgeons at the RA Cowley Shock Trauma Center and University of Maryland Medical Center are international leaders in the care of orthopedic trauma.

In addition to providing acute care, Shock Trauma Problem Fracture Program's team of specialists routinely see patients with previous fractures that continue to have problems.

Unfortunately, even after excellent initial care, fractures can require treatment for complex issues, such as: .

  • Nonunion
  • Infection and osteomyelitis
  • Limb deformity or leg length discrepancy
  • Joint stiffness or arthritis after fracture
  • Symptomatic hardware

Treatment Beyond Standard Fracture Techniques 

Our physicians are highly experienced in caring for post-surgical issues that can develop months or years down the road from the time of the original injury. These injuries may require:

  • Complex orthopedic care related to problems that develop after the initial fracture care, wherever it may have been done
  • Concomitant infection treatment
  • Directed physical or occupational therapy
  • Complex wound management

Working Together With Referring Providers

We understand that health care providers want to make sure their patients are receiving the highest quality care. We will keep you updated on your patient’s progress.

To ensure a smooth continuation of care for our referred patients, we offer a direct line (410-328-6280, extension 7) to our team to discuss each patient’s needs and goals.


Two x rays showing before and after a fracture was set

About Our Problem Fracture Program Team

Our Problem Fracture Program physicians are global leaders in the research and development of cutting-edge treatment strategies and techniques to restore function and mobility after a traumatic injury.

Our multidisciplinary team includes:

  • Orthopedic trauma surgeons with expertise in complex issues after fractures
  • Complex joint replacement surgeons, who subspecialize in trauma-related issues
  • Upper extremity orthopedic trauma surgeons who will care for nerve and tendon injuries in addition to fractures
  • Infectious disease specialists specialized in musculoskeletal infections
  • Plastics and soft tissue reconstruction surgeons
  • Physical and occupational therapists dedicated to the rehabilitation of complex extremity injuries

Outpatient Locations

Shock Trauma Outpatient Pavilion at UMMC
23 Penn Street, Room TGR 100
Baltimore, MD 21201

University of Maryland Orthopaedics at Camden Yards
351 West Camden Street, Suite 501
Baltimore, MD 21201