Complex Shoulder Fractures Petersburg VA

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John Kniska, DDS
(804) 732-0155
3277 S Crater Rd
Petersburg, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Praveer Srivastava, MD
(804) 526-5888
2801 Boulevard Ste F
Colonial Heights, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Maulana Azad Med Coll, Univ Of Delhi, New Delhi, Delhi, India
Graduation Year: 1985

Data Provided By:
Sharadkumar Saraiya, MD
(804) 541-9279
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll, Baroda Univ, Baroda, Gujarat, India
Graduation Year: 1975
Hospital
Hospital: John Randolph Hospital, Hopewell, Va
Group Practice: Hopewell Orthopedic Ctr Inc

Data Provided By:
Karanvir Prakash, MD
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics, Physical Medicine And Rehabilitation
Gender
Male
Languages
Hindi
Education
Medical School: All India Inst Of Med Sci, Ansari Nagar, New Delhi, Delhi, India
Graduation Year: 1982
Hospital
Hospital: John Randolph Hospital, Hopewell, Va; Southside Reg Med Ctr, Petersburg, Va
Group Practice: Hopewell Orthopedic Ctr

Data Provided By:
Gurpal S Bhuller, MD
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Christian Med Coll, Punjab Univ, Ludhiana, Punjab, India
Graduation Year: 1974
Hospital
Hospital: John Randolph Hospital, Hopewell, Va; Southside Reg Med Ctr, Petersburg, Va
Group Practice: Hopewell Orthopedic Ctr

Data Provided By:
Vivek Sharma
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialty
Family Practice, Orthopedic Surgery, Sports Medicine

Data Provided By:
Karanvir Prakash
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialty
Foot & Ankle Surgery

Data Provided By:
Manjit S Dhillon, MD
(804) 526-5888
131 Jennick Dr
Colonial Heights, VA
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Maulana Azad Med Coll, Univ Of Delhi, New Delhi, Delhi, India
Graduation Year: 1986

Data Provided By:
A Wright Pond, DDS
(804) 526-1241
PO Box 697
Colonial Hgts, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Julian Cabell Metts, DDS
(804) 748-7878
4703 Buckingham Ct
Chester, VA
Specialties
Orthodontics/Dentofacial Orthopedics

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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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