Description
In this medical presentation, Dr. Chloe Scott, a consultant surgeon based in Edinburgh, discusses the management of extracapsular hip fractures. The talk covers various fracture patterns classified under the AO system, including non-comminuted intertrochanteric, basicervical, comminuted intertrochanteric, and reverse oblique subtrochanteric fractures. Dr. Scott evaluates treatment options, focusing on the use of dynamic hip screws versus cephalomedullary nails, referencing guidelines from the American Academy and NICE concerning stable and unstable fractures. She presents relevant studies showing mortality rates and complications related to these surgical interventions. Emphasizing the importance of surgical technique, Dr. Scott shares insights on closed reduction, optimal entry points for pins, and the necessity of proper nail positioning to prevent future complications. She stresses using tranexamic acid to reduce blood loss during surgery and provides practical tips on achieving anatomical alignment during the procedure. The presentation concludes with a summary of fracture types, treatment recommendations, and the importance of considering femoral neck version during surgery.