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- Talk
- 20/09/2023
- UK
How I Manage the Spectrum of Acute Shoulder Instability Injuries - Indications for Early Arthroscopic Stabilisation and how to Manage Acute Bon
Description
In this lecture, Basil Vrettos presents a comprehensive overview of developments in the management and surgical treatment of acute dislocated shoulders, with a focus on the evolution of surgical techniques and decision-making processes. He begins by discussing the historical context of shoulder dislocation management, referencing famous cases like that of rugby player Jonny Wilkinson and Martin Johnson, which highlight the lack of standardized protocols in previous years.
Vrettos shares personal anecdotes about influential figures in orthopedic surgery and reflects on the dramatic changes in surgical approaches since the 1980s. He elaborates on the significance of arthroscopic surgery introduced in the 1990s, its early promise, and the subsequent identification of failure rates associated with specific bony injuries. The talk systematically addresses the information gleaned from clinical studies and collective insights from a professional group of shoulder surgeons, indicating a shift toward more aggressive surgical interventions, such as the Latarjet procedure for patients with bony injuries, particularly athletes engaged in contact sports.
The lecture emphasizes the importance of individualized patient assessments using scores such as the ISIS score to better predict surgical outcomes, combined with collaboration among competing surgeons to enhance understanding and treatment approaches. Vrettos discusses the challenges faced in treating young athletes and the implications of choosing surgical options versus conservative management based on their high physical demands and propensity for further injuries.
Towards the end of the talk, he addresses surgical complications, surgical techniques, and decision-making processes that involve balancing patient choice and clinical outcomes. By sharing experiences, outcomes, and best practices, Vrettos advocates for best practices in shoulder surgery, aiming to improve the quality of care for patients suffering from shoulder dislocations while providing insight into the complexities of modern orthopedic surgical practices.