Arthroplasty and ORIF Aberdeen SD

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Chester Wilson P Mayo, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1986
Hospital
Hospital: Huron Reg Med Ctr, Huron, Sd; St Lukes Midland Reg Med Ctr, Aberdeen, Sd
Group Practice: Orthopedic Surgery Specialists

Data Provided By:
John Joseph Gluscic, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1986

Data Provided By:
Matthew C Reynen
(605) 226-2663
701 8th Avenue Nw Suite A
Aberdeen, SD
Specialty
Orthopedic Surgery

Data Provided By:
James K Mantone
(605) 226-2663
701 8th Ave Nw
Aberdeen, SD
Specialty
Orthopedic Surgery

Data Provided By:
James Keith Mantone, MD
(605) 226-2663
701 8th Ave NW Ste A
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1993

Data Provided By:
James Brian Mac Dougall, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1985

Data Provided By:
Matthew Carl Reynen, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1991
Hospital
Hospital: Huron Reg Med Ctr, Huron, Sd
Group Practice: Orthopedic Surgery Specialists

Data Provided By:
Thomas G Harbert
(605) 229-0205
201 S Lloyd St
Aberdeen, SD
Specialty
Orthopedic Surgery

Data Provided By:
Peter R Carter, MD
(214) 559-7572
1440 15th Ave NW
Aberdeen, SD
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1968
Hospital
Hospital: Texas Scottish Rite Hospital F, Dallas, Tx

Data Provided By:
Mark Charles Harlow, MD
(605) 229-0205
201 S Lloyd St
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1968
Hospital
Hospital: St Lukes Midland Reg Med Ctr, Aberdeen, Sd
Group Practice: Aberdeen Association-Ortho Sur

Data Provided By:
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Arthroplasty or ORIF: Which is Better for Elbow Fracture?

There is much debate among surgeons about the treatment of elbow fractures. In particular, fractures of the radial head can be difficult to manage. This article addresses those issues and tries to shed some light on the subject.

There are two bones in the forearm that meet at the elbow: the ulna and the radius. The ulna fits into the elbow socket while the radius swivels back and forth against the bottom of the humerus (upper arm).

The top of the radius is called the radial head. The head has a flat top to allow it to glide back and forth as the hand turns palm up and palm down. One-third of all elbow fractures occur at the radial head and neck. In many cases, the injury is caused by a fall on the outstretched hand and arm. The elbow dislocates, and the ligaments around the elbow are torn.

The big question is: should the elbow be repaired or replaced? Elbow joint replacement is called an arthroplasty. Repair is done with an operation called open reduction and internal fixation (ORIF). The authors describe both procedures in detail and discuss when to use each one.

Part of the problem in making this decision is the lack of studies comparing the two operations. And changes in the type of implants and methods used are occurring so fast that results of recent studies reported are already outdated.

The authors suggest that the surgeon must be prepared to make the final decision in the operating room. Fracture pattern and amount of soft tissue damage must be assessed before choosing the best way to stabilize the elbow and restore motion. They prefer the new precontoured implants for ORIF when it can be done easily. Complex injuries require radial head arthroplasty.

Future studies are needed comparing these two treatment options with long-term follow-up before best practice can be determined. Until this information is available, the surgeon must weigh all the factors and make the best decision possible. Keeping up with all the latest c...

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