Description
This transcript details a virtual presentation led by Ben Ollivere during a session at the Edinburgh fracture forum, focusing on recent important literature concerning bone and joint treatments. The session, named Bone and Joint 360, aims to discuss critical randomized controlled trials, emphasizing their significance in orthopedic practice. Ollivere initiates the talk by expressing gratitude for the opportunity to present again and reflects on the challenges of virtual discussions, noting the lack of real-time audience interaction that would occur in a physical setting.
The discussion transitions into substantive content with the FISH study, a randomized controlled trial involving 82 patients who suffered mid-shaft humeral fractures. Participants were divided into two groups, one receiving internal fixation and the other, functional bracing. Ollivere highlights the findings, indicating minimal difference in outcomes using the DASH score at 12 months, noting that many patients in the non-operative arm eventually required surgery due to nonunion. He underscores the importance of examining patient crossover rates to fully understand trial outcomes.
Next, Ollivere discusses the UK FROST trial, centered around frozen shoulder treatments which revealed that all three treatment arms led to substantial improvements, advocating tailored treatment decisions based on patient needs. He then presents findings from a small trial on distal radius fractures, suggesting that while structured physiotherapy is effective, face-to-face sessions may be beneficial for working patients.
Lastly, he covers a trial on vascular impulse technology (VIT) pumps in relation to acute trauma, demonstrating a reduction in days waiting for surgery, thus promoting quicker recovery. Ollivere concludes by encouraging further exploration of the discussed studies and expresses appreciation for the audience's participation.