Description
The video lecture is presented by Ben Ollivere, a Professor of Orthopedic Trauma from Nottingham. The primary focus of the talk is on the treatment of humeral shaft fractures, specifically comparing the use of plates versus braces for managing these injuries. Ollivere begins with a brief introduction and thanks the organizing team, before emphasizing that the treatment approach is not straightforward. He discusses the circumstances under which different treatment options are warranted, citing examples of complete shoulder girdle injuries that would require surgical fixation versus cases where non-operative treatment with a brace might suffice.
Ben delves into the historical context of humeral shaft fracture treatment, referencing Gus Sarmiento's research from 2000, which established that braces are a common first-line treatment worldwide, based on favorable outcomes in a large patient cohort. He presents evidence from various studies, including the FISH trial, which suggest a significant portion of non-operative patients may require surgery later, prompting the need for careful case evaluation.
Ollivere illustrates his points with clinical scenarios, including a patient with a segmental fracture who ultimately required surgery due to complications arising from initial non-operative management. He discusses elements influencing treatment decisions, such as fracture type and alignment, emphasizing that not all fractures are suitable for bracing alone.
His concluding remarks highlight the importance of an individualized approach, suggesting that approximately 15% of his patients qualify for early surgical intervention based on their progress during follow-up appointments. He encourages continuous assessment and adjustment of treatment strategies to ensure optimal recovery outcomes for patients.