Arthroplasty and ORIF Goose Creek SC

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Gregory Paul Harbach, MD
2891 Tricom St Ste A
N Charleston, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1994

Data Provided By:
Gary E Windler
(843) 569-3367
9100 Medicom St
N Charleston, SC
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
William Ernest Wilson, MD
(843) 572-2663
Attn Lori 9100 Medcom St
Charleston, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1989

Data Provided By:
Eric Steven Stem, MD
(843) 572-2663
9100 Medcom St
North Charleston, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1993
Hospital
Hospital: Trident Med Ctr, Charleston, Sc
Group Practice: South Carolina Sports Medicine

Data Provided By:
Don Owen Stovall
(843) 266-4873
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Joel Robert Cox
(843) 797-5050
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Dr.Matthew Kneidel
9100 Medcom Street
Charleston, SC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.5, out of 5 based on 1, reviews.

Data Provided By:
James Joseph McCoy
(843) 797-5050
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery

Data Provided By:
George Farris Warren
(843) 797-5050
2880 Tricom St
North Charleston, SC
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Joseph D Thompson Jr.
2891 Tricom Street
Charleston, SC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: St.Francis
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

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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