Arthroplasty and ORIF Avondale AZ

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Kit C McCalla, DO
(602) 424-0935
10815 W McDowell Rd
Avondale, AZ
Business
Arizona College of Orthopedic Surgeons PC
Specialties
Orthopedics

Data Provided By:
William Chester Brainard, MD
(623) 846-7614
195 E La Mar Blvd
Goodyear, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1961

Data Provided By:
Gregory H Sirounian
(623) 882-1292
13555 W Mcdowell Rd
Goodyear, AZ
Specialty
Orthopedic Surgery

Data Provided By:
Lawrence Parker Shank, MD
(623) 882-1292
13555 W McDowell Rd Ste 302
Goodyear, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1984

Data Provided By:
Kristin Kay Warner, MD
(623) 856-9724
Litchfield Park, AZ
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 2000

Data Provided By:
Douglas B Mangan
(623) 882-1292
13555 W Mcdowell Rd
Goodyear, AZ
Specialty
Orthopedic Surgery

Data Provided By:
Gregory Harry Sirounian, MD
(623) 882-1292
13555 W McDowell Rd Ste 302
Goodyear, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1996

Data Provided By:
Douglas Bradford Mangan, MD
(623) 882-1292
13555 W McDowell Rd Ste 302
Goodyear, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ct Sch Of Med, Farmington Ct 06032
Graduation Year: 1998

Data Provided By:
Michael George Churosh, DDS
(623) 536-7004
13575 W Indian School Rd Ste 400
Litchfield Pk, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Claude Augustus Luekens, MD
(623) 535-7190
Litchfield Park, AZ
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1954

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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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