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- Talk
- 22/09/2021
- UK
A Five-Year Review Comparing 30-day Mortality following Intramedullary Nailing versus Sliding Hip Screw for Trochanteric Hip Fractures
Description
The content is a transcription of a presentation by Gavin Baker, an orthopedic trainee from Northern Ireland, discussing a study on 30-day mortality rates associated with two surgical options for hip fractures: dynamic hip screws (DHS) and intramedullary nails. He presents background statistics indicating a significant number of hip fractures in the UK, with a portion being classified as intertrochanteric fractures, leading to surgical interventions. Baker references previous research suggesting a higher mortality rate linked to intramedullary nails compared to DHS and describes the methodology of his own study conducted at Altnagelvin Hospital, collecting data over five years.
The study results indicate that the 30-day mortality rate was lower for both DHS (6.07%) and intramedullary nails (4.76%) when compared with historical data, prompting questions on the differences in fracture complexity and patient ASA classifications between the two surgical treatments. Baker noted that while intramedullary nails are used for more complex fractures, those classified with a higher ASA showed increased mortality rates. He concludes that despite lower mortality rates in their cohort, further analysis and studies with larger populations are necessary for optimal management recommendations.
The presentation is followed by a brief Q&A with Donald Campbell, who appreciates the clarity of the presentation and asks about additional metrics such as length of stay and revision rates between the surgical methods, which Baker confirms were also considered.