Arthroplasty and ORIF Minot ND

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Ronald L Ailsby, MD
400 Burdick Expy E
Minot, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Saskatchewan, Coll Of Med, Saskatoon, Sask, Canada
Graduation Year: 1969

Data Provided By:
Peter Howard Earnshaw, MD
PO Box 40
Minot, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of London Fac Med-Guys Hosp Med Sch (See 917-21)
Graduation Year: 1976

Data Provided By:
David M Uthus
(701) 857-5500
101 3rd Ave Sw
Minot, ND
Specialty
Orthopedic Surgery

Data Provided By:
Bernard Merwyn Varberg, MD
117 3rd Ave SW
Minot, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1964

Data Provided By:
David Martin Uthus, MD
(701) 857-5701
101 3rd Ave SW
Minot, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1973

Data Provided By:
Alexandre S Kindy
(701) 857-5500
101 3rd Ave Sw
Minot, ND
Specialty
Orthopedic Surgery

Data Provided By:
Rafik Benaissa, MD
(701) 857-5000
101 3rd Ave SW
Minot, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ottawa, Fac Of Med, Ottawa, Ont, Canada
Graduation Year: 1990

Data Provided By:
Dwight I Woiteshek
(701) 857-5500
101 3rd Ave Sw
Minot, ND
Specialty
Orthopedic Surgery

Data Provided By:
Dwight Irving Woiteshek, MD
(701) 857-5000
101 3rd Ave SW Ste 101
Minot, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1975

Data Provided By:
Dennis D Sommers, DDS
(701) 852-2646
1015 S Broadway Ste 17
Minot, ND
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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