Arthroplasty and ORIF Lake Charles LA

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John Wallace Noble Jr, MD
(337) 494-4900
1717 Oak Park Blvd Fl 3
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1990

Data Provided By:
Geoffrey James Collins, MD
(337) 494-4900
1717 Oak Park Blvd Fl 3
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1992

Data Provided By:
Nathan Phillip Cohen
(337) 494-4941
1717 Oak Park Blvd
Lake Charles, LA
Specialty
Orthopedic Surgery

Data Provided By:
Clark A Gunderson
(337) 439-0385
2615 Enterprise Blvd
Lake Charles, LA
Specialty
Orthopedic Surgery

Data Provided By:
Clark Alan Gunderson, MD
(337) 439-0385
2615 Enterprise Blvd
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1973

Data Provided By:
Daniel R Yanicko Jr, MD
(337) 433-8400
501 S Ryan St
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1982
Hospital
Hospital: Lake Charles Mem Hosp, Lake Charles, La; Christus St Patrick Hosp, Lake Charles, La
Group Practice: Lake Charles Medical & Surgical Clinic

Data Provided By:
Thomas Bryan Ford, MD
(337) 310-0440
2770 2nd Ave Ste 101B
Lake Charles, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1978

Data Provided By:
Scott L Hofer
(337) 494-4900
1717 Oak Park Blvd
Lake Charles, LA
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Gehron P Treme
(337) 721-7236
501 S Ryan St
Lake Charles, LA
Specialty
Orthopedic Surgery

Data Provided By:
Richard Jones Chafin, DDS
(337) 436-3631
790 E Bayou Pines Dr
Lake Charles, LA
Specialties
Orthodontics/Dentofacial Orthopedics

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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