Elderly Patients Should All be Treated with Hind Foot Nails

Description

This VTT transcript presents a medical discussion led by Howard Davies, focusing on the management of a 90-year-old female patient who suffered a Weber B fracture after a fall. The discussion outlines the complexities involved in her treatment, considering her dementia and potential complications due to her age and pre-existing conditions. The speaker deliberates various surgical options, including traditional plating, external fixation, and the use of a hindfoot nail, weighing their respective benefits and risks.



He highlights the advantages of the hindfoot nail: it is minimally invasive, provides stability, allows for early weight-bearing, and has a lower complication rate compared to other methods. The discourse also references recent studies that support the efficacy and safety of hindfoot nails in elderly patients, noting improved mobilization and rehabilitation outcomes.



In closing, Davies shares insights into his clinical preference for using hindfoot nails in suitable cases but acknowledges the complexities of decision-making based on individual patient needs. The light-hearted tone at the end indicates a blend of professionalism and relatability in medical discourse.

DOI: 10.1302/3114-221508

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