Description
This transcript details a presentation by Joiddeep Phadnis focusing on arthroplasty as a treatment for elbow fractures, especially in older patients. Phadnis begins by discussing the importance of storing questions for later discussion and setting the stage with some key disclosures about the talk's content.
The presentation emphasizes the need to refine indications for arthroplasty in elbow fractures and acknowledges the challenges of internal fixation techniques. Through various case studies, particularly that of an active 80-year-old woman, Phadnis illustrates the decision-making process regarding operative vs. non-operative treatment approaches. The use of total elbow replacement and hemiarthroplasty is analyzed through historical studies and recent research findings, indicating better outcomes for arthroplasty but also highlighting potential complications such as loosening and the need for reoperations.
Phadnis discusses optimal patient selection, particularly advocating for older individuals who depend on reliable elbow function. Key indicators for considering arthroplasty include failed fixations, complex articular fractures, and other trauma-related indications. The talk underscores the importance of surgical technique, meticulous decision-making regarding the type of arthroplasty, and careful management of complications, particularly concerning ulnar nerve care.
Finally, Phadnis acknowledges gaps in current knowledge regarding the comparison of total elbow vs. hemiarthroplasty and suggests the need for ongoing research and data collection to optimize outcomes. The session concludes with a summary that underscores the nuanced and multifaceted nature of choosing appropriate surgical interventions for elbow fractures.