Arthroplasty and ORIF Kansas City KS

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Greg Folsom, MD
Kansas City, KS
Specialty
Orthopaedic Sugeon

Data Provided By:
Dr.Kim Templeton
(913) 588-6100
3901 Rainbow Blvd # Ms3045
Kansas City, KS
Gender
F
Education
Medical School: Univ Of Mo, Columbia Sch Of Med
Year of Graduation: 1988
Speciality
Orthopedic Surgeon
General Information
Hospital: Kumed
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 3, reviews.

Data Provided By:
Dr.Edward Toby
(913) 588-6800
3901 Rainbow Blvd # Ms3045
Kansas City, KS
Gender
M
Education
Medical School: In Univ Sch Of Med
Year of Graduation: 1981
Speciality
Orthopedic Surgeon
General Information
Hospital: University Of K S Med Ctr, Kansas City, Ks
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 4, reviews.

Data Provided By:
Erik Michael Wetter, MD
Kansas City, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 2003

Data Provided By:
John Donald Galligan, MD
(816) 404-5404
2301 Holmes Ortho Surgery
Kansas City, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1999

Data Provided By:
Dr.Sean Jackson
(913) 588-6100
3901 Rainbow Boulevard
Kansas City, KS
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 2, reviews.

Data Provided By:
Michael D Sander, MD
Kansas City, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 2000

Data Provided By:
Gary Deaver Boston, MD
(913) 682-2040
2620 N 55th St
Kansas City, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1974

Data Provided By:
Douglas C Burton
(913) 588-6100
3901 Rainbow Blvd
Kansas City, KS
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Kevin H Latz, MD
(816) 234-3693
2401 Gillham Rd
Kansas City, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1990

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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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