Description
The presented text is a conference presentation by Clare Wildin, an orthopedic surgeon from Leicester, who discusses the management of proximal phalanx fractures. The talk begins with an introduction by Alex Kochéta, who sets the stage for Clare's insights on this specific area of hand and wrist trauma. Clare highlights her professional focus within orthopedic surgery, particularly the management of hand and wrist trauma, while acknowledging the challenges presented by the COVID-19 lockdown in Leicester.
Throughout the presentation, Clare outlines her thoughts on managing proximal phalanx fractures, emphasizing the importance of early decision-making and the utilitarian role of the Traction Zimmer splint. She shares a structured approach to fracture management, discussing key considerations such as the intra- vs. extra-articular nature of the fractures, assessing deformities, and analyzing X-ray findings.
She explains how to evaluate and treat both simple and complex fracture cases, advocating for a conservative approach unless surgical intervention is deemed necessary. Clare illustrates the importance of distinguishing between stable vs. unstable fractures and offers practical advice for applying traction and immobilizing injuries to optimize patient outcomes. Surgical techniques and error minimization, particularly in the context of lag screw usage, are among the critical topics she discusses.
The presentation is sprinkled with Clare's anecdotes and experiences in dealing with hand fractures, underscoring the necessity for careful evaluation and timely intervention to prevent long-term complications. Clare concludes by inviting questions from the audience, reinforcing the collaborative nature of the orthopedic community.