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- Talk
- 17/08/2023
- UK
Pelvis and Acetabular Fractures: Cases and Discussion
Description
The video features a medical discussion led by Tim White regarding the management of elderly patients with acetabular fractures. In the introduction, Tim invites the audience to ask questions regarding previous talks, before transitioning to a specific case study of a patient in their early 70s with a low-energy pelvic fracture. John Keating, one of the speakers, analyzes the radiographs and discusses the complexity and prognosis of the fracture, suggesting it may be a volar column fracture.
The conversation continues to touch on the challenges of treating older patients, particularly in terms of prognosis based on factors such as fracture comminution, the patient's prior health status, and the quality of bone. Michael Archdeacon joins the dialogue, identifying key indicators for poor prognosis that might necessitate more invasive treatment like hip replacement. He elaborates on the treatment options, emphasizing a 'fix and replace' approach for certain fractures, and discusses the significance of weight-bearing status during recovery.
A second speaker, Ash Vasireddy, adds insights about previous studies relating to patient outcomes and the importance of simultaneous hip replacement in preserving mobility and preventing deconditioning.
The discussion also covers the notion of mobilizing patients early, with emphasis on avoiding non-weight-bearing statuses for elderly individuals, a practice that did not yield beneficial outcomes. The speakers conclude by addressing audience inquiries and sharing their collective experiences, highlighting the necessity of individualized management strategies for each patient.