Arthroplasty and ORIF Mason City IA

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Adrian J Wolbrink
(641) 422-6630
250 S Crescent Dr
Mason City, IA
Specialty
Orthopedic Surgery

Data Provided By:
George J Daskalos, DDS
(641) 423-6626
Suite 701 103 E State St
Mason City, IA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Timothy Allen Gibbons, MD
(641) 422-6630
250 S Crescent Dr
Mason City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1989

Data Provided By:
Michael W Crane, MD
(641) 421-5610
250-S N Crescent Dr
Mason City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1980
Hospital
Hospital: North Iowa Mercy Health Center, Mason City, Ia
Group Practice: Mason City Clinics

Data Provided By:
Timothy M Gibbons
(800) 622-1411
250 S Crescent Dr
Mason City, IA
Specialty
Orthopedic Surgery

Data Provided By:
Robert E McCoy, MD
(641) 421-5315
431 1st St SE
Mason City, IA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Adrian James Wolbrink, MD
(641) 422-6630
250 S Crescent Dr
Mason City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1965
Hospital
Hospital: North Iowa Mercy Health Center, Mason City, Ia; Mercy Med Ctr -North Iowa, Mason City, Ia
Group Practice: Mason City Clinics

Data Provided By:
David Edison Fisher, MD
(641) 421-6630
250 S Crescent Dr
Mason City, IA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1974

Data Provided By:
Michael Bentley Scherb
(641) 422-6630
250 S Crescent Dr
Mason City, IA
Specialty
Orthopedic Surgery, Foot & Ankle Surgery

Data Provided By:
Michael W Barba, DDS
(641) 423-2172
1453 4th St Se
Mason City, IA
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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