Arthroplasty and ORIF Donna TX

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Subram Gopal Krishnan, MD
(210) 968-9502
1331 E 6th St
Weslaco, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Christian Med Coll, Punjab Univ, Ludhiana, Punjab, India
Graduation Year: 1962

Data Provided By:
R Chandrasekharan, MD
(956) 968-8523
1210 E 8th St Ste I
Weslaco, TX
Specialties
Orthopedics, Trauma Surgery
Gender
Male
Education
Medical School: Bangalore Med Coll, Bangalore Univ, Bangalore, Karnataka, India
Graduation Year: 1967

Data Provided By:
Subram Gopal Krishnan, MD
(956) 968-9502
1331 E 6th St
Weslaco, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Christian Med Coll, Punjab Univ, Ludhiana, Punjab, India
Graduation Year: 1962

Data Provided By:
Miguel Angel Hernandez
(956) 618-4414
1421 N 2nd St Ste A
Mcallen, TX
Specialty
Orthopedic Surgery

Data Provided By:
Armando Moncada
(956) 994-0888
1421 N 2nd St
Mcallen, TX
Specialty
Hand Surgery

Data Provided By:
Ramachandran Chandrasekharan, MD FACS
(956) 968-8523
Weslaco, TX
Gender
Male
Education
Medical School: Bangalore(st John''s)
Graduation Year: 1967

Data Provided By:
Subram Gopal Krishnan
(956) 968-9502
1331 E 6th St
Weslaco, TX
Specialty
Orthopedic Surgery

Data Provided By:
Michael David Sander
(956) 447-9797
1330 E 6th St
Weslaco, TX
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Salvador J Mendez, MD
(956) 618-4414
1421 N Col Rowe Blvd Ste A
McAllen, TX
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Auto De San Luis Potosi, Fac De Med, San Luis Potosi, Mexico
Graduation Year: 1973
Hospital
Hospital: Rio Grande Regional Hospital, McAllen, Tx; Mc Allen Med Ctr, McAllen, Tx
Group Practice: Mc Allen Bone & Joint Clinic

Data Provided By:
Khaimchand Panday
(956) 686-4600
3330 N Mccoll Rd
Mcallen, TX
Specialty
Hand Surgery

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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