Arthroplasty and ORIF Lawrence MA

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George M Pomerantz
(978) 686-0090
34 Haverhill St
Lawrence, MA
Specialty
Orthopedic Surgery

Data Provided By:
George A Hyder, MD
37 Nevins Rd
Methuen, MA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Richard Michael Bargar
(978) 794-1946
575 Turnpike St
N Andover, MA
Specialty
Orthopedic Surgery

Data Provided By:
George Martin Pomerantz, MD
(978) 470-0250
138 Haverhill St
Andover, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1960

Data Provided By:
Eric Briggs Arvidson, MD
(978) 470-0707
140 Haverhill St Ste 1
Andover, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1984
Hospital
Hospital: Lawrence General Hospital, Lawrence, Ma
Group Practice: Essex Orthopaedics

Data Provided By:
George A Hyder, MD FACS
(508) 682-0968
37 Nevins Rd
Methuen, MA
Gender
Male
Education
Medical School: Tufts
Graduation Year: 1937

Data Provided By:
Steven Jason Andriola, MD
(978) 794-1946
575 Turnpike St Ste 11
North Andover, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1993

Data Provided By:
Ronald Alan Marvin, MD
(978) 794-1946
575 Turnpike St Ste 11
North Andover, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1972

Data Provided By:
Steven Jason Andriola
(978) 794-1946
575 Turnpike St
N Andover, MA
Specialty
Orthopedic Surgery

Data Provided By:
Richard Choi
(978) 794-1946
575 Turnpike St
N Andover, MA
Specialty
Orthopedic Surgery

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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