- Podcast
- 10/08/2022
- UK
The COMPOSE Studies: Epidemiology, Characteristics, Management and Outcomes of Femoral Periprosthetic Fractures
Description
In this podcast episode of the Bone & Joint Journal, host Andrew Duckworth welcomes Professor Paul Baker from South Tees NHS Trust to discuss two research papers stemming from the COMPOSE study, which focuses on femoral periprosthetic fractures. The conversation begins with gratitude towards the podcast's audience and contributors. The COMPOSE study aims to provide comprehensive data about the demographics and management of femoral periprosthetic fractures, addressing a gap in the existing literature due to increasing rates of such injuries, particularly in an aging population.
Professor Baker explains the study's retrospective cohort design, analyzing data from 27 hospitals across the UK. A broad inclusion criterion allowed for the capture of varied patient demographics, charting pre-injury health status, comorbidities, and fracture specifics. The results indicate a significant incidence of femoral fractures, particularly around hip replacements, with outcomes that mirror those of hip fracture patients, highlighting this population's frailty and complexity.
The findings show that a considerable proportion of patients require surgical intervention, with notable variability in management strategies across sites. The podcast emphasizes themes of surgical timing, the need for improved data collection, and integration of research into clinical practice to optimize patient outcomes. Professor Baker concludes with thoughts on establishing a national framework for collecting comprehensive data on this heterogeneous patient group, suggesting collaboration with existing registries to improve care pathways and outcomes.