Hip Fracture Update

Description

The session titled "Hip Fracture Update" features presentations from several distinguished speakers specializing in orthopedic trauma. Kitish Mohanty initiates the session, outlining the rising incidence of hip fractures, particularly in the UK, and emphasizes the importance of continuous learning and adaptation in medical practices. He notes that while treating hip fractures is a familiar task for most practitioners, there is a need to stay updated on emerging trends and research. Mohanty introduces his first case study of a young female patient with a high-energy hip fracture and discusses surgical considerations, posing questions about best practices for fixation and timing.



Bob Hanley, a prominent orthopedic trauma consultant and president of the British Orthopedic Association, follows Mohanty and shares insights on high-energy hip fractures, emphasizing their differences from typical hip fractures seen in older patients. He discusses the importance of understanding the anatomy of various fracture types and surgical approaches. Hanley raises concerns regarding the long-term implications of arthroplasty in younger patients and advocates for open reduction techniques to ensure optimal fracture healing.



Professor Mohit Bhandari brings an international perspective, focusing on elderly patients and examining the management of hip fractures. He underlines the high mortality and morbidity rates associated with these injuries and highlights recent research indicating that replacement may be more effective than fixation in certain cases. Bhandari discusses findings from the HEALTH trial, which compares total hip arthroplasty to hemiarthroplasty, concluding that the outcomes over two years show no significant differences in revision rates, suggesting that the choice between these options can be nuanced.



John Mukhopadhyay concludes the session by addressing the complexities surrounding unstable extracapsular fractures, advocating for fixation while also considering arthroplasty as a viable alternative in specific cases. He shares case studies illustrating both successful fixations and complications that led to revisions, reinforcing the idea that patient characteristics and fracture specifics should guide treatment decisions.



The session underscores the evolving landscape of hip fracture management, emphasizing the need for ongoing education to improve patient outcomes, and invites further discussion among attendees regarding practical challenges and advancements in orthopedic care.

Specialties