Arthroplasty and ORIF Mitchell SD

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Felix Flores Ungacta, MD
625 N Foster St
Mitchell, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1994
Hospital
Hospital: Sioux Valley Hospital, Sioux Falls, Sd

Data Provided By:
Robert Ernest Mc Whirter, MD
(605) 996-7077
1222 E 7th Ave
Mitchell, SD
Specialties
Orthopedics, Emergency Medicine
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1972
Hospital
Hospital: Platte Comm Memorial Hospital, Platte, Sd; Queen Of Peace Hospital, Mitchell, Sd
Group Practice: Mitchell Orthopaedic Ctr

Data Provided By:
Dr.Mitchell Johnson
(605) 331-5890
Ste 5000, 810 East 23rd Street
Sioux Falls, SD
Gender
M
Education
Medical School: Univ Of Hlth Sci, Coll Of Osteo Med
Year of Graduation: 1997
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 14, reviews.

Data Provided By:
Dr.Timothy Walker
(605) 328-3700
1210 W 18th St # G1
Sioux Falls, SD
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.7, out of 5 based on 3, reviews.

Data Provided By:
Patricia Hawkins Leonard, DDS
(605) 338-5253
4804 S Cliff Ave
Sioux Falls, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Marcia Nelsen, MD
(605) 996-5903
2200 N Kimball St Ste 1050
Mitchell, SD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1982
Hospital
Hospital: Sacred Heart Health Services, Yankton, Sd; Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Praireland Orthopaedics

Data Provided By:
Dr.Jeffrey Kalo
(605) 336-2638
2908 East 26th Street
Sioux Falls, SD
Gender
M
Education
Medical School: Kirksville Coll Of Osteo Med
Year of Graduation: 1988
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
Mark Edward Wheeler
(605) 217-2615
575 N Sioux Point Rd
Dakota Dunes, SD
Specialty
Orthopedic Surgery

Data Provided By:
Geoffrey F Haft
(605) 328-2663
1210 W 18th St
Sioux Falls, SD
Specialty
Orthopedic Surgery

Data Provided By:
Nicholas Joseph Yokan, MD
(605) 328-3700
1210 W 18th St Ste G01
Sioux Falls, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1990
Hospital
Hospital: Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Van Demark Orthopedic

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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