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Medical Orthopedic Trauma Service

The Medical-Orthopaedic Trauma Service (MOTS) at NewYork-Presbyterian/Weill Cornell Medical Center is a unique service of multidisciplinary care for patients with complex medical histories – largely a geriatric population – who come to us with a fracture. Our team doesn't simply treat the fracture – we treat the whole patient. Our staff is available 24 hours a day, 7 days a week.

In addition, NewYork-Presbyterian/Weill Cornell is a certified Level One Trauma Center, meaning that we have the medical staff and technology to handle the most serious trauma cases.

Our Services

When an elderly or medically complex patient is admitted through the Emergency Department at NewYork-Presbyterian/Weill Cornell Medical Center for a fracture, he or she is treated by an Emergency Department physician, physicians from the Orthopaedic Trauma service, and an internal medicine physician ("hospitalist") from our MOTS team.

Together, they provide immediate evaluation and treatment for the fracture, which is often caused by a fall, and explore why the patient fell and the reason it resulted in a fracture. We recognize that many patients with fractures have a variety of medical issues that must be addressed prior to surgery. Therefore, along with treating the fracture, a hospitalist (a board-certified physician who specializes in the care of hospitalized patients) conducts an in-depth medical evaluation that often includes speaking to and obtaining records from the patient’s physicians, particularly when those doctors are not affiliated with NYP/Weill Cornell. The hospitalist, together with a dedicated MOTS physician assistant, provides daily comprehensive care to patients on this service throughout their entire hospital stay.

Other MOTS services include:

  • Evaluation and treatment for osteoporosis and other bone problems. If a patient is already being treated for osteoporosis, his or her treatment plan will be re-assessed.
  • Aggressive occupational and physical therapy to get patients up and moving faster after surgery. This improves injury recovery time, decreases the risk of pneumonia, blood clots, and bedsores, and decreases the length of the hospital stay.
  • Pain management geared toward geriatric and medically complex patients. We recognize that these patients' pain requirements may be different than other adults. Without the correct type or dose of medication, for example, older patients may be more sleepy and prone to staying in bed.
  • Nutrition service that evaluates and assists in improving patients' diets.
  • Social workers and case managers who help with the planning of rehabilitation after hospital discharge, whether in a specialized facility (subacute or acute rehabilitation) or at the patient's home with home care services.
  • Specialized surgical nursing care, featuring nurses trained to recognize problems in patients who have had surgery.

Our Physicians for Medical-Orthopaedic Trauma Service (fractures)


NewYork-Presbyterian/Weill Cornell Medical Center

Weill Cornell Orthopedics
Phone: 212-746-4500

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