Arthroplasty and ORIF Portales NM

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Frederick John Hensal, MD
(806) 725-4865
2000 W 21st St Ste J
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
John Dee Bailey, DO
(505) 784-3658
7704 Oklahoma Ct
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Kirksville Coll Of Osteo Med, Kirksville Mo 63501
Graduation Year: 1990

Data Provided By:
Anthony F Pachelli, MD
(505) 724-4300
201 Cedar St SE
Albuquerque, NM
Business
New Mexico Orthopaedic Associates
Specialties
Orthopedics

Data Provided By:
Robert Michael Stack, MD
(505) 525-3535
675 Avenida de Mesilla
Las Cruces, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wi Med Sch, Madison Wi 53706
Graduation Year: 1970
Hospital
Hospital: Memorial Med Ctr, Las Cruces, Nm
Group Practice: Las Cruces Orthopaedic Associates

Data Provided By:
David Frank Poe
(505) 722-1000
516 E. Nizhoni Blvd.
Gallup, NM
Specialty
Orthopedic Surgery

Data Provided By:
Jacob George, MD
(505) 763-1197
2301 N Thomas St
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Seth G S Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1973

Data Provided By:
Jose H Velez, MD
(505) 762-2223
2301 N Thomas St
Clovis, NM
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Peruana Cayetano Heredia, Prog Acad De Med, Lima, Peru
Graduation Year: 1975

Data Provided By:
John D Ray
(505) 724-4300
201 Cedar St Se
Albuquerque, NM
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Rachelle L Shaw, DDS
(505) 888-3520
4620 Jefferson Ln NE Ste C
Albuquerque, NM
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Felix Tucker Haltom, DDS
(505) 299-4458
10433 Lagrima De Oro Rd NE
Albuquerque, NM
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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