Please login to view this media

  • Talk
  • 18/09/2024
  • UK

The Growing Problem for Patiens and Systems of Care - POPFF

Description

The presentation focuses on the challenges and complexities surrounding periprosthetic fractures, particularly in the context of hip surgeries. It begins with an introduction addressing the audience, highlighting the distinct nature of periprosthetic fractures compared to other medical issues, particularly the lack of live data updates available from current databases, such as the National Hip Fracture Database. The speaker declares no conflicts of interest but indicates involvement with relevant organizations, including past roles as a clinical fellow and current position in the contract analysis team for the National Joint Registry (NJR). Over the past five years, the speaker's work has concentrated on managing postoperative periprosthetic femoral fractures, which remain a growing issue with significant implications for patient care.



Key points include:

- Only 90% of hospitals report periprosthetic fractures, raising concerns about data completeness and validation.

- An emphasis on understanding the true burden of these fractures, which represent a significant proportion of complications following hip replacements.

- The speaker notes that periprosthetic fractures are notoriously challenging to treat, with many patients experiencing prolonged recovery times, and a high mortality rate among those affected.

- The presentation further explores the disparity between surgical intervention times for periprosthetic fractures compared to other orthopedic conditions, stressing that only 20% of patients receive timely surgical care.

- The speaker advocates for improved care pathways and collaboration among hospitals to devise better strategies for treating periprosthetic fractures as part of a broader trauma network.



Towards the end of the presentation, the speaker discusses upcoming initiatives involving the NJF and NJR to address care pathways for patients with periprosthetic femoral fractures, and encourages health professionals to engage in audits and validation of their own practice standards as a proactive measure to improve patient outcomes. The session concludes with an invitation for questions, indicating the speaker's willingness to support further discussions on the topic.

DOI: 10.1302/3114-251060

Specialties