Description
In this engaging medical discussion, John Keating opens the floor for questions after three expert presentations. Matt Costa highlights ongoing HUSH trials regarding non-unions in fractures, emphasizing the importance of predicting these issues, particularly in specific fracture patterns. Will Oliver responds, stating that while assessing fracture gaps in simple cases is straightforward, complex fractures present challenges. This leads to a case study of a 32-year-old man with a humeral shaft fracture from arm wrestling. The panel debates the merits of surgical versus non-operative treatment for the injury. Expertise from the audience and panelists reveals a spectrum of opinions based on patient circumstances. As the discussion progresses, they consider the nuances of managing outcomes and risks, including potential complications such as radial nerve palsies, before transitioning into a shoulder case involving a 62-year-old woman with a dislocated shoulder following a fall. The panel again weighs the benefits of surgical intervention against the risks associated with elderly patients. Overall, the conversation reflects the complexity of orthopedic decision-making, highlighting the blend of clinical evidence and individualized patient care.
DOI: 10.1302/3114-251007