Elbow Fracture Surgery for Seniors Muskogee OK

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Fred Michael Ruefer, MD
(918) 682-7717
209 S 36th St
Muskogee, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1972
Hospital
Hospital: Muskogee Reg Medctr, Muskogee, Ok
Group Practice: Muskogee Bone & Joint & Sports

Data Provided By:
Clint F Kirk, DO
209 S 36th St
Muskogee, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ok State Univ, Coll Of Osteo Med, Tulsa, Ok 74107
Graduation Year: 1994

Data Provided By:
Guy Eric Grooms, MD
(918) 682-7717
209 S 36th St
Muskogee, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Finch U Of Hs/Chicago Med Sch, North Chicago Il 60664
Graduation Year: 1989
Hospital
Hospital: Veterans Affairs Med Ctr, Muskogee, Ok
Group Practice: Muskogee Bone & Joint & Sports

Data Provided By:
Timothy Dwight Robison, MD
(918) 683-8100
200 S 37th St
Muskogee, OK
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1981
Hospital
Hospital: Muskogee Reg Medctr, Muskogee, Ok

Data Provided By:
Paul F Grice, MD FACS
(918) 682-7080
4708 Girard St
Muskogee, OK
Gender
Male
Education
Medical School: Illinois(chicago)
Graduation Year: 1947

Data Provided By:
Dr.Jack Weaver
(918) 682-7717
209 South 36th Street
Muskogee, OK
Gender
M
Education
Medical School: Univ Of Ok Coll Of Med
Year of Graduation: 1993
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.5, out of 5 based on 1, reviews.

Data Provided By:
Ellis Phillip Couch, MD
(918) 683-3086
103 N 37th St
Muskogee, OK
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1968
Hospital
Hospital: Muskogee Reg Medctr, Muskogee, Ok
Group Practice: Three Rivers Orthopedics

Data Provided By:
Gary Michael Kramer, MD
(918) 682-7717
209 S 36th St
Muskogee, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1985

Data Provided By:
William F DuBbs
(918) 683-3261
1011 Honor Heights Dr
Muskogee, OK
Specialty
General Surgery

Data Provided By:
Marvin O Lewis, MD FACS
(918) 682-7165
Muskogee, OK
Gender
Male
Education
Medical School: Jefferson
Graduation Year: 1946

Data Provided By:
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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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