Arthroplasty and ORIF Great Falls MT

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Aimee V Hachigian Gould, MD
(406) 771-7051
1220 Central Ave Ste 2E
Great Falls, MT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1979
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt

Data Provided By:
Matthew D Hammit, MD
1300 28th Street South South
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tx A & M Univ Coll Of Med, College Station Tx 77843
Graduation Year: 1998

Data Provided By:
Gregory Scot Tierney, MD
(406) 455-3650
500 15th Ave S Ste 1
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1988
Hospital
Hospital: Benefis Hosp Center -East Cam, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

Data Provided By:
John Connor Molloy, MD
(617) 787-1928
1400 29th St S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1959

Data Provided By:
David R Neil, DDS
(406) 761-0314
2525 6Th Ave S
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Howard Avery, MD
(406) 761-2399
401 15th Ave S Ste 110
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1968

Data Provided By:
Robert C West, DDS
(406) 761-8550
1301 12th Ave S Ste 100
Great Falls, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Nicholas David Bonfilio, MD
(406) 771-3161
1400 29th St S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1979

Data Provided By:
Dr.Alexander Chung
(406) 455-3650
500 15th Ave S # 1
Great Falls, MT
Gender
M
Education
Medical School: Tufts Univ Sch Of Med
Year of Graduation: 1994
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.2, out of 5 based on 2, reviews.

Data Provided By:
Michael Edward Luckett, MD
(406) 455-3650
500 15th Ave S
Great Falls, MT
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1982
Hospital
Hospital: Benefis Hosp West, Great Falls, Mt
Group Practice: Great Falls Orthopedic Associates

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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