Description
In this session led by Andrew Duckworth and featuring Adam Watts and Paul Jenkins, the discussion revolves around the surgical management of distal biceps tendon ruptures and complex elbow injuries, including approaches to the treatment of fractures and dislocations in the elbow. The conversation highlights the variability in practice across different centers, how to assess patients individually, and the importance of informed consent and shared decision-making.
Duckworth emphasizes the importance of individual patient assessment when determining whether to proceed with surgical intervention versus conservative management. He mentions the risks associated with surgery, including nerve injury. The discussion also touches on various imaging techniques to confirm diagnoses and strategies for early intervention.
Adam Watts adds to the dialogue by discussing the nuances of managing complex elbow injuries, stressing the significance of addressing all fracture fragments and maintaining joint stability, referencing approaches that allow for optimal exposure during surgery.
Towards the end, the focus shifts to a specific case involving an elderly female patient with a complex elbow fracture, where the panel discusses the merits of surgical fixation against arthroplasty. They underscore the importance of patient preferences and the implications of shoulder survivability post-surgery. Throughout the presentation, the importance of communication among surgical teams and the individualized approach to patient care are central themes.