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Geriatric Inpatient Fracture Service (GIFTS)

Geriatric Inpatient Fracture Service (GIFTS) is a co-management program that helps care for patients 65 years and older who are hospitalized because of orthopedic injuries.


The Geriatric Inpatient Fracture Service (GIFTS) is a program that aims to better manage patients 65 years-old and above, who are admitted to the hospital with orthopedic injuries, such as hip fractures, but who often have additional medical issues as well. GIFTS provides the best possible care throughout hospitalization and during the rehabilitation process. Along with more specialized care, the program also decreases wait time for surgery, reduces length of stay in the hospital for fracture care and improves geriatric-specific communication with families and receiving rehabilitation facilities. Our goal is to restore quality of life to our patients. Through GIFTS, physicians from Geriatric Medicine work closely with physicians from the Orthopedic Trauma Service along with staff from the Departments of Nursing, Anesthesia, Endocrinology, Physical Therapy and Nutrition. The main goals are to help patients avoid complications following surgery, address underlying medical needs, strengthen overall health and provide patient and family-centered education.

What to Expect

Upon a patient's arrival in the Emergency Department, our GIFTS physician works with the Orthopedic Trauma Service to evaluate and determine the best course of treatment. Patients whose coexisting medical issues are determined to be secondary to their orthopedic injury are admitted to the Department of Orthopaedics to be managed by the GIFTS team. Patients whose other medical conditions are more pressing or severe than their orthopaedic injuries are admitted to the Department of Medicine with an orthopedic consult. They can then be transferred to the GIFTS team once their medical issues become less acute.


  • Franco Garcia, Esteban, MD


    Not Accepting New Patients

    Clinical Interests
    • Geriatric medicine
    Board Certifications
    • Internal Medicine, American Board of Internal Medicine
    • Geriatric Medicine, American Board of Internal Medicine
    • Boston: MGH Senior Health
  • Heng, Marilyn M., MD, MPH, FRCSC


    Accepting New Patients

    Clinical Interests
    • Acetabular fractures
    • Complications of trauma
    • Femur fractures
    • Hip fractures
    • Nonunions of fractures
    • Orthopedic trauma
    • Osteomyelitis
    • Pathological fractures
    • Pelvic fractures
    • Polytrauma
    • Post traumatic reconstruction
    • Tibia fractures
    • Trauma-related infections
    • Limb deformity correction
    • Boston: Orthopaedic Associates
  • Lhowe, David W., MD


    Accepting New Patients

    Clinical Interests
    • Fracture care
    • Hip fractures
    • Hip problems
    • Knee problems
    • Nonunions of fractures
    • Malunion of fractures
    • Disaster medicine
    Board Certifications
    • Orthopaedic Surgery, American Board of Orthopedic Surgery
  • Smith, R. Malcolm, MD


    Accepting New Patients

    Clinical Interests
    • Major orthopaedic trauma & fracture care
    • Pelvic & acetabular reconstruction
    • Polytrauma & severe injury
    • Open fracture management
    • Minimally invasive plating techniques
    • Trauma-related infection and osteomyelitis
    • Complications of injury, infection, non-union & malunion
    • Boston: Orthopaedic Associates

Advanced Practitioners

Conditions & Diseases

  • Fractures

    A fracture is a partial or complete bone break. When a fracture occurs, it is classified as either open or closed.

  • Hip Fracture

    A hip fracture is a break in the femur (thigh bone) of the hip joint.

Clinical Trials

The following clinical trials are available through the Orthopedic Trauma Service.

To learn more about each study, please contact Michael McTague at 617-643-3653 or

  • Evaluating the recovery process in patients 65 and over who have a broken pelvis

This study focuses on elderly patients who have fallen and broken their pelvis (called a pelvic fracture). The goal of this study is to assess how they heal and recover from their injury.

If you decide to participate in this study, you will complete a series of questionnaires about how you are recovering from your pelvic fracture. You will complete these questionnaires when you are first seen for your pelvic fracture; six weeks after your injury, three months after your injury, six months after your injury, and one year after your injury. It will take you about 15 minutes to answer these questions, and you can do this over the phone and at your convenience. Your answers will help us to understand how patients who have this kind of fracture heal so that we can provide future patients and their families with better information about the recovery process.

  • Is surgery required to treat small wounds near the joint?

We believe that small wounds or cuts near a joint such as the knee, ankle, hip, shoulder, or elbow may not require a kind of surgery called “irrigation and debridement” to clean out the wound of any dirt or infection. These wounds, which are called arthrotomies, can also be treated with stitches and antibiotics in the Emergency Department. We want to know which treatment is better and under what circumstances.

Patients with these types of wounds are eligible for this study. All patients who have these injuries will receive a washing of the wound in the Emergency Department and stitches, antibiotics, and x-rays of the wound. If you decide to participate in this study, you will receive a telephone call 48 hours after you leave the hospital and we will ask you about your wound. You will need to come back to the hospital for appointments with your orthopedist two weeks, four weeks, and three months after your first treatment. The only parts of this study that are not part of the normal way we treat patients with this injury is the phone call and the three month appointment.

  • A new technique to measure healing in the knee bone

We are conducting this research study to examine how your knee bone fracture (distal femur fracture) heals. In this study, we will use a special x-ray called Radiostereometric Analysis (RSA) to look at how the pieces of your bone move. RSA can be used to measure very small movements in bone over time. Patients who are eligible for this study will already be having surgery using a metal plate to fix their fracture.

If you were to enroll in this study, we would place 9 to 27 tiny metal beads (made of tantalum) in the bone above your knee during your regular surgery. The beads would mark the location of your bone to see how it moves and knits together over time. The beads do not move and you will not feel them. The beads are permanent and will not be removed.

After your surgery, we will take RSA x-rays at your regular follow-up appointments: two weeks after your surgery, six weeks after your surgery, three months after your surgery, six months after your surgery, and one year after your surgery. The RSA x-rays will show the beads in the bone in your thigh just above your knee. A computer program will measure how your bone is healing and whether it has moved since your surgery.

  • Does extra oxygen during surgery lower the risk of infection after surgery?

We are conducting this research study to see if giving a patient more oxygen than normal during surgery results in a lower risk for infection during their recovery. This will help determine the best treatment for severe lower leg injuries. Some broken bones are more likely to get an infection after surgeries, due to the way they were injured. These injuries include: a break at the top or bottom of the larger bone in your lower leg (tibia) or a break in the weight-bearing bone in your foot (calcaneus). Patients with these types of fractures are eligible for this study.

If you participate in this study, you will be assigned by chance to one of two groups. One group would receive extra oxygen during surgery. The other group would receive the normal amount of oxygen during surgery. After surgery, you will be asked to come back to the clinic and follow up with us at two weeks, three months, and six months. These visits would part of your routine follow-up with your treating physician. At the six-month visit, we would ask you questions about your recovery. At 12 months, we would call you for a final follow-up.

  • Orthopedic Trauma patients’ opinions about medical marijuana

The aim of this study is to evaluate the opinions of the orthopedic trauma patient population about the new Massachusetts medical marijuana laws. Any patient who was injured 1 month to 6 months ago is eligible for this study. We will ask you questions about your opinion of medical marijuana and about your state of mind during your recovery from your injury. The questionnaire takes about 5-10 minutes to complete. Your answers are confidential.


Contact Us

Do you have any questions or concerns? You have a few options:

  • Monday-Friday, 7:00 am - 3:00 pm - Call our fracture nurse practitioner at 617-697-4806
  • Emergencies, weekends, holidays and nights, 3:00 pm - 7:00 am - Call our pager at 617-280-9956
  • Anytime, any day - E-mail your question to

If you are experiencing a true medical emergency, dial 911 immediately. If you need to go directly to the hospital and cannot call us first, please call as soon as possible so your primary care physician may coordinate your health care, your insurance coverage and any necessary follow-up care.

Contact Geriatric Medicine

Geriatric Medicine

165 Cambridge Street, 5th FloorCharles River Plaza, CPZ 502Boston,MA02114
  • Near Public Transit
  • Accessible
  • Phone: 617-726-4600
  • Fax: 617-228-6306

Please call us at 617-726-4600. You will reach our directed phone system. Please follow the instructions for patient and patient family members. This will directly connect you with a staff member who can assist you with an appointment or direct your phone call to the appropriate person.

Partners Patient Gateway

For established patients only. Partners Patient Gateway is a secure web-based application that allows patients to opportunity to request prescription renewals, insurance referrals, appointments, change demographic information, and communicate with the practice. Visit

Urgent Care

8:30 am-5:00 pm

If you are experiencing an urgent medical problem please call 617-726-4600 and press 9.

After Hours

If you are experiencing an urgent medical concern and need to speak with a physician outside of business hours, please call us at 617-726-4600. A hospital operator will page the physician on call.

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