Complex Shoulder Fractures Wichita KS

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Kenneth Jansson
(316) 631-1600
2778 N Webb Rd
Wichita, KS
Business
Advanced Orthopaedics Associates
Specialties
Orthopedics, Sports Medicine, Arthroscopic Surgery
Insurance
Insurance Plans Accepted: Almost all insurance plans accepted.
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes

Doctor Information
Primary Hospital: Kansas Surgery and Recovery Center; Surgicare of Wichita
Residency Training: Wilford Hall USAF Medical Center, Lackland AFB, TX
Medical School: Darthmouth, 1982
Additional Information
Member Organizations: American College of Sports Medicine American Medical Association American Medical Society for Sports Medicine American Orthopaedic Society for Sports Medicine Arthroscopy Association of North America Fellow American Academy of Orthopaedic Surgeo


Data Provided By:
Samuel C Jack, MD FACS
2121 W Maple St
Wichita, KS
Gender
Male
Education
Medical School: Oklahoma
Graduation Year: 1955

Data Provided By:
Christopher Anderson
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Gregory Paul Ballard, MD
(316) 268-5988
929 N Saint Francis St
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 2000

Data Provided By:
Jeremy James Stallbaumer
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Suhail Akhter Ansari, MD
(413) 221-3078
517 E Douglas Ave Apt 501
Wichita, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Grant Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1983
Hospital
Hospital: Southwest Med Ctr, Liberal, Ks; Morton County Hosp, Elkhart, Ks; Stevens County Hosp, Hugoton, Ks
Group Practice: Orthopaedic Specialists

Data Provided By:
Ryan Mclean Stuckey
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Richard Eldon Duey
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
James Lee Womack
(316) 962-3030
1010 N Kansas St
Wichita, KS
Specialty
Orthopedic Surgery

Data Provided By:
Yvonne Marion Murtha, MD
(316) 268-5988
Ortho Res Program St Francis Campus 929 N St Franc
Wichita, KS
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 2001

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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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