Complex Shoulder Fractures Anchorage AK

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William M Dotson, DDS
(907) 563-2828
3401 Denali St Ste 203
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Robert Wm Lipke, MD
(907) 229-5363
4048 Laurel St Ste 302
Anchorage, AK
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1972

Data Provided By:
Marc Joseph Kornmesser, MD
(907) 562-2277
4100 Lake Otis Pkwy Ste 208
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1999

Data Provided By:
John D Frost
(907) 563-7072
4100 Lake Otis Pkwy Ste 302
Anchorage, AK
Specialty
Orthopedic Surgery

Data Provided By:
Richard William Garner, MD
907-563-3145 x123
AFOC 3260 Providence Dr Ste 200
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1967
Hospital
Hospital: Alaska Reg Hosp, Anchorage, Ak; Providence Alaska Med Ctr, Anchorage, Ak; Providence Seward Med Ctr, Seward, Ak
Group Practice: Anchorage Fracture Clinic

Data Provided By:
Michael D Brandner
(907) 272-9991
3650 Lake Otis Pkwy
Anchorage, AK
Specialty
Hand Surgery

Data Provided By:
Jack B Duclos, DDS
(907) 272-3200
1836 W Northern Lights Blvd
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Loren James Jensen, MD
(907) 274-2425
4100 Lake Otis Pkwy Ste 314
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1985

Data Provided By:
John J Murray, DDS
(907) 277-0502
2211 E Northern Lights Ste 203
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.William Mills
(907) 562-2277
3801 Lake Otis Pkwy # 300
Anchorage, AK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: Multiple In Anchorage
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 4, reviews.

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Best Way to Surgically Treat Complex Shoulder Fractures

When it comes to complex fractures of the humerus (upper arm) in older adults, surgeons really have their work cut out for them. There are so many things to keep in mind. A complex fracture usually means the bone is broken into three or four parts. Putting the pieces back together in a way that promotes recovery and return to full function can be a real challenge.

The age of the person matters because people over age 70 often have low bone mass and slow healing. The way in which the bone has fractured, the anatomy of the underlying structures, and risk of ischemia (loss of blood supply to the bone) are additional variables to consider. The chances of developing osteonecrosis (death of the bone) increase with each one of these factors.

A very well-known surgeon (Dr. Charles Neer) introduced the idea of replacing the shoulder instead of trying to repair it. That was back in 1970. Since then, surgeons have tried full joint replacement and hemiarthroplasty (replacing only one side of the joint). These methods have proven to work but not always smoothly. Ischemia and osteonecrosis are still major concerns. Pain relief and improvement in function and recovery aren't always guaranteed.

So, experts have gone back to the drawing board to rethink surgical treatment for these complex proximal humeral fractures. Proximal means the break occurred at the top of the shoulder where the round head and of the femur are located. They asked themselves if the results could be improved with better surgical technique.

They have tried developing implants specifically designed for the type of fracture involved. They have studied the anatomy of the joint very carefully trying to mimic it in every way with reconstructive surgery. Achieving optimal anatomical structures involves the structure, shape, angle, length, and orientation of bone, muscle, tendons, ligaments, even fat deposits.

To give you one example of why this is all important -- getting the proper height of the implant in the joint requires restoring the exact shape (contour) of the humerus where some of the muscles attach. Using the other shoulder as a template helps the surgeon reproduce "normal" as much as possible on the operative (fractured) side.

That brings us to the latest efforts in this area. This article reports on the use of reverse shoulder arthroplasty for three- and four-part proximal humeral fractures. The broken pieces are removed and replaced with a prosthesis (artificial joint). In the "normal" shoulder replacement, the socket side of the implant is a shallow plastic piece and the humeral component is a metal stem attached to a metal ball. In the reverse shoulder replacement, the ball and the socket are reversed.

Naturally, when a new technique is tried, the results must be recorded and reported. Studies done so far have been limited with small numbers of patients and short-term results. But so far the results have been more predictable with improved ...

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