Arthroplasty and ORIF Dyer IN

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Douglas Michael Murphy, MD
(219) 322-6835
221 S Route 41 Ste K
Schererville, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1989
Hospital
Hospital: St Margaret Mercy Health Care, Hammond, In; Community Hosp, Munster, In

Data Provided By:
Jonathan R Javors
(219) 865-3004
2001 Us Highway 41 Ste G
Schererville, IN
Specialty
Orthopedic Surgery

Data Provided By:
Jeffrey Manuel Tioco
(219) 677-4940
9660 Wicker Ave
Saint John, IN
Specialty
Orthopedic Surgery

Data Provided By:
David Mehl
(708) 756-0100
333 Dixie Hwy
Chicago Heights, IL
Specialty
Orthopedic Surgery

Data Provided By:
Garud Ranga Raj, MD
(708) 756-3218
30 E 15th St Ste 206
Chicago Heights, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bangalore Med Coll, Bangalore Univ, Bangalore, Karnataka, India
Graduation Year: 1960

Data Provided By:
Jonathan Richard Javors, DO
(219) 865-3004
833 W Lincoln Hwy
Schererville, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1980

Data Provided By:
Gilbert V Carter, DDS
(219) 736-6574
PO Box 676
Schererville, IN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Wade Coats, MD
(708) 709-6205
333 Dixie Hwy
Chicago Heights, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1998

Data Provided By:
Dwight S Tyndall, MD
(415) 366-4600
730 45th Ave
Munster, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1988

Data Provided By:
James J Murphy
(219) 836-7214
7905 Calumet Ave
Munster, IN
Specialty
Orthopedic 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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