BIOS Hip Webinar 2021

Description

The webinar discusses various aspects of hip surgeries, focusing on factors influencing joint replacement decisions, such as revision risks, the scores of patient-reported outcome measures (PROMs), and financial implications. It emphasizes the importance of fixation methods, showcasing trends in hip replacement popularity within registries, particularly contrasting hybrid and cemented methods across different demographics. The session delves into anatomical considerations, discussing the role of acetabular components and long-term survivorship of different fixation types.



The presentation highlights recent data regarding hip dislocation rates and factors influencing post-operative stability, including component alignment and perioperative management. Attention is given to the critical role of proportional acetabular cups and appropriate head sizes based on patient age and demands. The speaker prompts the audience to reconsider practices, suggesting that highly cross-linked polyethylene and certain bearing combinations could yield better outcomes, especially in younger patients.



Data from registries suggest increasing preference for dual mobility and constraints to reduce dislocation rates, establishing how these developments affect patient mobility and quality of life post-surgery. There is also a segment addressing pathological fractures in metastatic bone disease, detailing the differences in management compared to traumatic fractures, emphasizing the need for individualized treatment strategies considering factors such as the primary diagnosis, treatment responses, and patient prognosis. The discussion wraps up with recommendations for optimal surgical intervention approaches and evidence-based practices for improved long-term outcomes.

DOI: 10.1302/3114-221850

Specialties