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- Talk
- 19/09/2023
- UK
Orthopaedic Trauma Society: Hindfoot Nailing in Fragility Fractures
Description
This educational VTT transcript features a talk by Dr. Andy Riddick on the subject of hind foot nailing in the context of ankle fractures, particularly focusing on its application for frail older patients. Dr. Riddick elaborates on the importance of timely surgical intervention to allow these patients to weight bear as soon as possible—ideally within 36 hours of injury—to avoid complications associated with prolonged bed rest.
Key points covered include the mechanics of the procedure, the rationale behind using large nails to stabilize fractures, and the considerations for choosing candidates for this type of surgery. He emphasizes that the procedure is well-supported in the literature as a valid technique, backed by clinical evidence, and aims to dispel the notion that it is merely niche or unconventional practice.
Dr. Riddick outlines some technical aspects of the surgery, highlighting that while the operation itself is straightforward, the critical decision-making concerns the patient's frailty and how it impacts their recovery and quality of life. He shares personal anecdotes, including case studies, and discusses the innovative use of special implants designed specifically for this procedure, suggesting that more general orthopedic surgeons should be considering these techniques in their practice.
The talk concludes with a discussion about potential complications, addressing concerns from the audience, and reiterating the need for flexibility in treatment approaches depending on patient-specific factors. Overall, Dr. Riddick advocates for the utilization of hind foot nailing as an effective solution for specific fracture types in frail, elderly patients.