Elbow Fracture Surgery for Seniors 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:
Richard Dennis Mc Evoy, MD
(907) 563-3145
3260 Providence Dr Ste 200
Anchorage, AK
Specialties
Orthopedics, Trauma Surgery
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1976
Hospital
Hospital: Alaska Reg Hosp, Anchorage, Ak; Providence Alaska Med Ctr, Anchorage, Ak
Group Practice: Anchorage Fracture Clinic

Data Provided By:
Douglas Grant Smith, MD
(907) 562-5907
718 K St
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1967
Hospital
Hospital: Providence Alaska Med Ctr, Anchorage, Ak
Group Practice: Anchorage Medical & Surgical

Data Provided By:
Christopher John Manion, MD
(907) 729-1640
4315 Diplomacy Dr
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1998

Data Provided By:
Dr.Michael Geitz
(907) 563-6272
2741 Debarr Rd # C415
Anchorage, AK
Gender
M
Education
Medical School: Northwestern Univ Med Sch
Year of Graduation: 1973
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 4, reviews.

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

Data Provided By:
John E Lapkass
(907) 563-3145
3260 Providence Dr
Anchorage, AK
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Rick Garner
(907) 563-3145
Orthopedic Physicians Anchorage, Suite 300, 3801 Lake Otis Parkway
Anchorage, AK
Gender
M
Education
Medical School: Johns Hopkins Univ Sch Of Med
Year of Graduation: 1967
Speciality
Orthopedic Surgeon
General Information
Hospital: Alaska Reg Hosp, Anchorage, Ak
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
William J Mills, MD
(907) 562-2277
1544 Hidden Ln
Anchorage, AK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Stanford Univ Sch Of Med, Stanford Ca 94305
Graduation Year: 1950

Data Provided By:
John M Sparaga, DMD
(907) 522-5000
9500 Independence Dr Ste 1000
Anchorage, AK
Specialties
Orthodontics/Dentofacial Orthopedics

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Update on Surgical Treatment of Elbow Fractures in the Elderly

Fractures of the humerus (upper arm bone) just above the elbow are difficult to treat. Surgery is the standard way to treat these fractures. But the optimal approach isn't always clear at the out set. The surgeon must take into consideration many factors. How did it happen? What kind of break is involved? Are the soft tissues around the bone damaged in any way? Did the elbow joint surface crack in the process? How strong is the bone (i.e., does the patient have osteoporosis or brittle bones)?

The orthopedic surgeons who wrote this article are from the University of Maryland in Baltimore. They offer a review of the latest research in the area of distal humeral fractures. Distal is just another way of saying the break occurred at the bottom end of the bone.

Surgeons are seeing more of these injuries with the aging adult population in America. Most of these fractures occur in older adults with poor bone quality. That's one of the things that really makes surgery so difficult. Conservative (nonoperative) care is possible but only when the fracture is stable and can be immobilized in a cast or splint. That type of fracture isn't as common as the displaced (bones separate), comminuted (many tiny bone fragments) fractures that require surgery.

The surgical choices are usually: 1) internal fixation, 2) external fixation, and 3) total elbow replacement. Each of these choices has its own indications (when to use them), advantages, and disadvantages.

One of the ways surgeons have of evaluating which approach to use is to examine the results from other patients who were treated with one approach versus another. Outcome measures include elbow range-of-motion, return of normal muscle strength, function, bone healing, and quality of life. The joint should be stable yet move freely. Length of time in the hospital and in rehab along with the associated costs might also be factored in. Complications such as infection, poor wound healing, and nonunion (failure of the bone to heal) are recorded. Implant failure (usually from loosening) and revision surgery are two other possible problems that researchers keep track of as a way to evaluate the final results.

By reviewing all of the available research data, the authors were able to summarize what is known about each of these three surgical treatment approaches. Let's take a look at each one separately.

Internal Fixation. Internal fixation refers to an open procedure where the surgeon puts the bones back together and holds them in place with wires, metal plates, and/or screws. This is the most commonly used operation. Many decisions come into play with this approach. The surgeon sizes up the injury and decides how best to get into the joint: from the back of the elbow (posterior or from the sides? If it seems best to make the incision from the side, then which side: medial (side closest to the body) or lateral (side away from the body)?

Studies show that the posterior approach giv...

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