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- Talk
- 22/09/2022
- UK
Upper Limb, Trauma and Paediatrics (BJ360 Revalidation)
Description
This transcript captures the BJ360 session led by Andrew Duckworth, focusing on recent advances and discussions concerning orthopedics, particularly in trauma and pediatrics. The session begins with Duckworth addressing the absence of Ben Olliviere and outlines the structure of the meeting, which will feature topics ranging from upper limb trauma to pediatric cases, followed by presentations from various speakers.
Duckworth emphasizes the need for reviewing the increasing volume of literature in orthopedic journals over recent years, particularly to avoid missing critical studies. He discusses humeral shaft fractures and the prevailing debates regarding non-operative versus operative management, citing studies like the FISH trial that highlight the risks associated with nonunion and the potential benefits of early surgical intervention.
A significant portion of the discussion assesses the differences in outcomes for humeral shaft fracture patients based on the method of treatment, with Duckworth sharing insights from recent studies that emphasize the importance of quick assessment and intervention, especially in pediatric cases.
The session then transitions into talks on distal humerus fractures, emphasizing changes in management and surgical options. Duckworth and subsequent speakers focus on current research findings, including systematic reviews and meta-analyses regarding surgical interventions and outcomes. They also discuss virtual fracture clinics established during the pandemic, demonstrating how these clinics can effectively manage minor pediatric fractures outside of traditional hospital settings.
Overall, this session captures a dynamic exploration of shoulder and elbow trauma, surgical techniques, literature reviews, and innovative practices in pediatric orthopedics, all while engaging with audience questions and fostering discussion on controversial topics, such as the necessity and timing of surgery in various fracture cases.