Description
This video features a lecture by Michael Archdeacon focusing on surgical techniques for managing proximal femur fractures, particularly in the context of injury from gunshot wounds, which, while less common in Europe, are frequent in certain practices. Archdeacon explains the nuances of using intramedullary nails for these types of fractures and advocates for a lateral position during surgery over more traditional methods, emphasizing the benefits of this approach in terms of patient anatomy and easier access to the surgical site.
He discusses specific challenges associated with high subtrochanteric fractures, such as managing comminuted fragments and achieving stable fixation. The video covers a range of tips, including using a piriformis entry for the nail to allow for better alignment and suggesting techniques for passive reduction during surgery. Archdeacon also provides a checklist for setting up the surgical table and discusses imaging techniques to ensure proper alignment. Overall, this presentation provides a comprehensive look at surgical management of proximal femur fractures, offering valuable insights for orthopedic surgeons.