Arthroplasty and ORIF Mebane NC

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Ronald A Pruitt, MD
(336) 227-3621
316 N Graham Hopedale Rd
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Madeline Serrano, DDS
(919) 493-4911
2919 Colony Rd
Hillsborough, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Philip Edward Higgs, MD
(919) 932-9980
6520 Union Grove Church Rd
Hillsborough, NC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1974

Data Provided By:
John Walter Hayes, MD
(336) 570-8724
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1968

Data Provided By:
James Philmon Hooten Jr, MD
(336) 538-2370
1234 Huffman Mill Rd
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1987
Hospital
Hospital: Alamance Reg Med Ctr, Burlington, Nc
Group Practice: Kernodle Clinic Inc

Data Provided By:
Edward Lloyd Hines, MD
(336) 584-5544
PO Box 209
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1970

Data Provided By:
William Alan Somers, MD
(919) 245-3000
3634 Sparrow Hawk Crst
Hillsborough, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1972

Data Provided By:
James C Califf
(336) 538-1234
1234 Huffman Mill Rd
Burlington, NC
Specialty
Orthopedic Surgery

Data Provided By:
James P Hooten
(336) 538-1234
1234 Huffman Mill Rd
Burlington, NC
Specialty
Orthopedic Surgery

Data Provided By:
Christopher Edmund Smith, MD
(336) 584-5544
1236 Huffman Mill Rd # 209
Burlington, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1976

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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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