Elbow Fracture Surgery for Seniors Cordele GA

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Robert Aaron Collins, MD
(912) 273-2629
254 Scenic Rt
Cordele, GA
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1948

Data Provided By:
William Preston Pannell, MD
(229) 273-9050
PO Box 1016
Cordele, GA
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1972
Hospital
Hospital: Crisp Reg Hosp, Cordele, Ga; Taylor Reg Hosp, Fort Valley, Ga
Group Practice: Surgical Associates Of Cordele

Data Provided By:
Vincent Scott Culpepper, MD
(229) 273-9050
416 E 4th Ave Ste A
Cordele, GA
Gender
Male
Education
Medical School: Mercer Univ Sch Of Med, MacOn Ga 31207
Graduation Year: 1997

Data Provided By:
Cordele Family Medicine
(229) 276-1445
501 E 3rd Ave
Cordele, GA

Data Provided By:
Robert J. Morgan, M.D.
(770) 787-4042
3211 Iris drive
Covington, GA
Business
Resurgens Orthopaedics
Specialties
Orthopedics, Sports Medicine, Shoulder & Elbow Surgery, Knee Ligament Reconstruction & Cartilage Repair, General Orthopaedics
Insurance
Insurance Plans Accepted: Accept most insurance plans

Doctor Information
Primary Hospital: Rockdale Medical Center
Residency Training: Carolinas Medical Center; Charlotte, North Carolina
Medical School: Medical University of South Carolina; Charleston, South Carolina,
Additional Information
Member Organizations: American Academy of Orthopaedic Surgeons, American Orthopaedic Society of Sports Medicine, Arthroscopy Association of North America
Languages Spoken: English

Data Provided By:
Robert Aaron Collins Jr, MD
(229) 273-2629
Cordele, GA
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1948

Data Provided By:
Michael Clayton Thompson
(229) 273-9050
416 E 4th Ave Ste A
Cordele, GA
Specialty
General Surgery

Data Provided By:
Surgical Associates of Cordele
(229) 273-9050
416 E 4th Ave # A
Cordele, GA

Data Provided By:
Crisp Regional Hospital
(229) 273-2050
401 E 4th Ave Ste B
Cordele, GA

Data Provided By:
F. daniel Koch, M.D.
(770) 491-3003
2680 Lawrenceville Highway
Decatur, GA
Business
Resurgens Orthopedics
Specialties
Orthopedics, General Orthopaedics, Adult Spine Surgery
Insurance
Insurance Plans Accepted: Accept most insurance plans

Doctor Information
Primary Hospital: Dekalb Medical Center
Residency Training: University of Louisville
Medical School: Duke University,
Additional Information
Member Organizations: Fellow, American Academy of Orthopaedic Surgeons
Languages Spoken: English

Data Provided By:
Data Provided By:

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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