Arthroplasty and ORIF Buford GA

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Michael K Phelan, DMD
(770) 271-0833
4530 Nelson Brogdon Blvd
Sugar Hill, GA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
William Howard Greenwood, MD
(678) 957-0757
1075 Satellite Blvd NW Ste 100
Suwanee, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Emory Univ Sch Of Med, Atlanta Ga 30322
Graduation Year: 1985

Data Provided By:
Edward Scott Middlebrooks, M.D.
(678) 513-8111
7360 McGinnis Ferry Rd.
Suwanee, GA
Specialties
Orthopedics, Spinal Surgery
Gender
Male
Education
Graduation Year: 1950

Data Provided By:
William H Greenwood
(678) 957-0757
1075 Satellite Blvd Nw
Suwanee, GA
Specialty
Orthopedic Surgery

Data Provided By:
Yvonne Edith Satterwhite, MD
(678) 513-8111
7360 McGinnis Ferry Rd Ste E
Suwanee, GA
Specialties
Orthopedics
Gender
Female
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1987

Data Provided By:
Gary Alan Levengood, MD
(678) 957-0757
1075 Satellite Blvd NW Ste 100
Suwanee, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1988

Data Provided By:
David Andrew Stokes, MD
(678) 957-3040
4055 Johns Creek Pkwy Ste A
Suwanee, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: East Carolina Univ Sch Of Med, Greenville Nc 27858
Graduation Year: 1997

Data Provided By:
Paul R Ellis III, MD
(214) 823-5351
3890 Johns Creek Pkwy
Suwanee, GA
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1982
Hospital
Hospital: Veterans Affairs Medical Ctr, Dallas, Tx; Baylor University Med Ctr, Dallas, Tx
Group Practice: Lankford Hand Surgery

Data Provided By:
William Bryce Haynes Jr, MD
(678) 513-8111
7360 McGinnis Ferry Rd Ste E
Suwanee, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1987

Data Provided By:
Edward S Middlebrooks, MD
(678) 513-8111
7360 McGinnis Ferry Rd Ste E
Suwanee, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Al Coll Of Med, Mobile Al 36688
Graduation Year: 1993

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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