Problem:
HISTORY OF PRESENT ILLNESS: The patient is a 56-year-old right-hand-dominant male, status post MVA, sustaining a left open supracondylar humerus fracture, treated with irrigation and debridement and open reduction and internal fixation with synthetic bone grafting done at that time. He also had a splenic injury and a left acetabular fracture. He was initially treated for his left humerus fracture. His postoperative course was complicated by a draining wound. He was transferred where he came under the care of Dr. Jones to fix his left acetabular fracture. Follow-up x-rays of his humerus revealed that he had a nonunion/malunion with hardware failure and was referred here for further management. In the interim, he denies any fevers or chills. He denies any sweats or weight loss. ALLERGIES: He has no known drug allergies. PAST SURGICAL HISTORY: His past surgical history is significant for left acetabular fracture, ORIF. MEDICATIONS: No medications. SOCIAL HISTORY: He is an engineer. He does not use tobacco. He uses no ETOH. He likes fishing, swimming, and golf. PHYSICAL EXAMINATION: On physical examination of his left elbow, there is a well-healed posterior incision.