Arthroplasty and ORIF Midlothian VA

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Mark H Hadfield
(804) 379-2414
13700 St Francis Blvd
Midlothian, VA
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
David Wayne Miller, MD
(804) 560-5595
Midlothian, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1988

Data Provided By:
Richard H Lee, DMD
(804) 379-2205
14267 Midlothian Tpke
Midlothian, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Charles William Dabney, DDS
(804) 794-8943
13321 Midlothian Tpke Ste A
Midlothian, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John W King, DDS
(804) 739-3399
5921 Harbour Ln Ste 300
Midlothian, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul George Kiritsis
(804) 379-2414
13700 Saint Francis Blvd
Midlothian, VA
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Harry Albert Raddin, DDS
(804) 745-0100
13841 Hull St Rd Ste 3
Midlothian, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Donald Zachary, MD
1521 Huguenot Rd
Midlothian, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1967
Hospital
Hospital: Deaconess Hosp Of Cleveland, Cleveland, Oh

Data Provided By:
Harry A Dunlevy, DMD
(804) 794-3498
11601 Robious Rd Suite 130
Midlothian, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dale Cole Rogers, DDS
(804) 794-9789
1600 Huguenot Rd
Midlothian, VA
Specialties
Orthodontics/Dentofacial Orthopedics

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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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