Arthroplasty and ORIF Guntersville AL

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Donald C Martin Jr, MD
(256) 582-7251
Guntersville, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Al Coll Of Med, Mobile Al 36688
Graduation Year: 1983

Data Provided By:
John C Alves, DDS
(256) 582-3398
1939 Patterson St Ste 101
Guntersville, AL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Baron Christopher Maze, MD
(205) 663-9102
1958 Autumn Creek Dr NE
Arab, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 2000

Data Provided By:
Joseph Charles Kendra, MD
(256) 571-8501
601A Corley Ave
Boaz, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1985

Data Provided By:
Dominique Theresa Vidrine, DDS
Birmingham, AL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Matthew Patrick Smith
(256) 571-8445
7938 Al Highway 69
Guntersville, AL
Specialty
Orthopedic Surgery

Data Provided By:
Wayne H Garrett, DMD
(256) 878-7830
100 Andrew St Ste F
Albertville, AL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Grant James Hyatt, MD
(248) 557-0704
PO Box 548
Grant, AL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1977

Data Provided By:
Kendra, Joseph MD
(256) 593-4363
601 Corley Ave Ste A
Boaz, AL

Data Provided By:
Thomas Gregory Terral, MD
(251) 928-2401
4 Medical Park
Fairhope, AL
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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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