Arthroplasty and ORIF Rutland VT

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Dr.Melbourne Boynton
(802) 775-2937
3 Albert Cree Drive
Rutland, VT
Gender
M
Education
Medical School: Northwestern Univ Med Sch
Year of Graduation: 1987
Speciality
Orthopedic Surgeon
General Information
Hospital: Rutland Reg Medctr, Rutland, Vt
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
Ann C Stein, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Female
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1982

Data Provided By:
David Hastings Bahnson, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1973

Data Provided By:
Edger Miller Holmes
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialty
Orthopedic Surgery

Data Provided By:
Claude Elmer Nichols, MD
95 Carrigan Dr Fl 4
Burlington, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1979

Data Provided By:
Joseph Henry Vargas III, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1965

Data Provided By:
Melbourne Duncan Boynton, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1987
Hospital
Hospital: Rutland Reg Medctr, Rutland, Vt; Porter Hospital, Middlebury, Vt
Group Practice: Vermont Orthopaedic Clinic

Data Provided By:
Edgar Miller Holmes III, MD
(802) 775-2937
3 Albert Cree Dr
Rutland, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1965

Data Provided By:
James Slauterbeck
(802) 847-9414
792 College Pkwy
Colchester, VT
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Jonathan Charles Thatcher, MD
17 Belmont Ave
Brattleboro, VT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1982

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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