Arthroplasty and ORIF Fremont NE

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Kenneth Robert Pitz, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1982
Hospital
Hospital: Fremont Area Med Ctr, Fremont, Ne; Nebraska Methodist Hospital, Omaha, Ne; Alegent Health Immanuel Med Ct, Omaha, Ne; Alegent Health -Memorial Hosp, Schuyler, Ne; St Francis Memorial Hospital, West Point, Ne
Group Practice: Heartland Orthopae

Data Provided By:
Brett William Fischer, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1993

Data Provided By:
Kenneth R Pitz
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery

Data Provided By:
Christopher Langdon Ihle
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Richard F Bergstrom, MD
(402) 721-0090
2740 N Clarkson St Ste 100
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1967

Data Provided By:
Christopher Langdon Ihle, MD
(402) 721-0090
2740 N Clarkson St
Fremont, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1980

Data Provided By:
Brett W Fischer
(402) 721-0090
2740 N Clarkson Street
Fremont, NE
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Mark G Mendlik, DDS
(402) 721-5714
1420 E Military Ave
Fremont, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Garrett Leonard Mendlik, DDS
(402) 721-8079
2129 Phelps Ave
Fremont, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Craig Buck
(402) 721-0090
2740 N Clarkson St
Fremont, NE
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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