The NJR Report for Orthopaedic Fellowship Examination

Description

The session begins with a welcome message to attendees of the Wednesday FRC teaching from the FARC splinter group. Arthur and the speaker introduce Ramesh as the main presenter, responsible for summarizing a comprehensive 200-page report on adult pathology from the year 2017. Ramesh emphasizes the report's importance, particularly in statistical analysis and its implications for clinical practice, highlighting funnel plots and their relevance to obtaining higher scores in examinations.



He shares the historical context of joint replacements, detailing the establishment of central registers and the evolution of such practices since 1972, referencing key registries. Ramesh outlines the goals of monitoring surgical outcomes in India, aiming for early detection of implant failures and understanding diverse surgical practices across different regions.



A critical part of the discussion revolves around hip replacements, presenting statistical data on various implant types, their 13-year survival rates, and their performance based on material composition. Ramesh emphasizes how patient age and gender influence revision rates, leading to a discussion of specific patient demographics, particularly concerns for female patients under 55. He tactfully explains how to assess the risks involved in hip replacements and the importance of choosing the right materials and techniques for individual patient needs.



Throughout the presentation, Ramesh expertly connects statistical insights with clinical applications, stressing the need for careful consideration of patient profiles, surgical techniques, and how these factors affect long-term success and revision rates. The presentation wraps up with a recap of the findings, emphasizing that while renovation rates decline with older patients, young patient profiles require more intricate consideration before proceeding with surgery. Ramesh expresses hope to continue such detailed discussions in future sessions to further enhance understanding among medical practitioners.

DOI: 10.1302/3114-221154

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