Arthroplasty and ORIF Buckley WA

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Richard L Molen, DDS
Sumner, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James J Wyman
(253) 446-0750
11212 Sunrise Blvd E Ste 201
Puyallup, WA
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
John Stewart Renn, MD
(253) 847-1123
10317 122nd St E
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1964

Data Provided By:
Steven K Yamamoto, DO
(253) 841-2447
3801 5th Street South East South
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med, Kansas City Mo 64124
Graduation Year: 1983

Data Provided By:
Duane Fredrick Hopp, MD
702 23rd Ave SE
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1967

Data Provided By:
Stacey Ann Donion, MD
Auburn, WA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 2001

Data Provided By:
Dr.Frederic Johnstone
(253) 845-9585
3801 5th St SE # 110
Puyallup, WA
Gender
M
Education
Medical School: Vanderbilt Univ Sch Of Med
Year of Graduation: 1982
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
William A Bulley
(253) 841-2929
324 E Pioneer Ave
Puyallup, WA
Specialty
Orthopedic Surgery

Data Provided By:
Wendall William Adams, MD
3801 5th St SE Ste 110
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1979

Data Provided By:
Donald Harold Mott, MD
(253) 845-9520
402 15th Ave SE
Puyallup, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1966

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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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