Description
The video presentation discusses the use of fibular nails in orthopedic surgery, particularly for managing bimalleolar fractures in elderly patients. The speaker, Tim White, engages with the audience about their experiences with various surgical approaches, ranging from plaster casts to intramedullary nailing and delayed fixation. He emphasizes the importance of proper technique and careful consideration in surgery—particularly for patients with compromised soft tissues.
White presents a study involving 400 patients, sharing that while 94% healed without complications, they identified a failure rate of about 5%. He examines specific issues leading to these failures, advocating for meticulous locking of screws and correct placement of the nail to ensure optimal outcomes.
The presentation showcases various cases, demonstrating successful and challenging outcomes, and emphasizes the ongoing evolution of surgical techniques. It concludes with a discussion on recent studies that challenge prior findings regarding fibular nails, calling attention to the importance of operator experience in achieving successful surgical results.
Throughout the talk, there's a blend of clinical evidence, personal experiences, and a focus on refining surgical practices to enhance patient outcomes.