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- Talk
- 20/09/2023
- UK
Management of the Neurovascular Complications of Supracondylar Fractures
Description
In this captivating presentation delivered by Dr. Pundrique Sharma, participants are taken on a detailed journey through the nuances of handling neurovascular injuries, particularly in pediatric cases. Sharma begins by introducing himself and his background, revealing a lifelong aspiration to be an orthopedic surgeon, which he humorously recalls while discussing his current role as a plastic surgeon at Alder Hey Children's Hospital in Liverpool.
The presentation progresses into the core topic—neurovascular injuries—where Sharma efficiently breaks down the complex subject into vascular and neural segments. He references the British Orthopaedic Association (BOA) guidelines, expressing both agreement and apprehension about certain protocols, emphasizing the importance of quick action when a child's hand shows signs of ischemia.
Throughout the talk, Sharma intertwines medical guidance with practical experience, sharing his insights drawn from his training at The Hospital for Sick Children in Toronto. He highlights the significance of knowing whom to call in urgent scenarios, stressing the collaboration between vascular and plastic surgeons in managing arterial injuries effectively. Sharma underlines that recognition and rapid response are vital when addressing such emergencies.
As he transitions to discussing neural injuries, Sharma touches on nerve repairs, reconstructions, and neurolysis, lending a clinician's perspective on the timelines for referral and intervention. He provides case studies showcasing the intricacies of handling nerve injuries, including the application of cable grafting techniques and meticulous surgeries that can yield significant patient recovery stories.
By the conclusion of the talk, Sharma summarizes the key takeaways: the importance of swift referral after three months without functional recovery, familiarity with local guidelines, and the necessity of inter-specialty collaboration. His engaging delivery, peppered with humor and real-world anecdotes, not only educates his audience on the technical aspects of pediatric neurovascular surgery but also invites them to appreciate the collaborative nature of the medical field, encouraging visits to his unit for further learning.