Virtual Trauma Meetings at the Grand Academy of Lagado - 94 Year Old Female, Intracapsular Hip Fracture

Description

This virtual trauma meeting, led by Sally Rankin, focuses on discussing orthopedic cases to enhance knowledge and experience for undergraduates. The case presented involves a 94-year-old lady who suffered a right hip injury after falling in her nursing home. The discussion delves into her co-morbidities, including chronic conditions such as atrial fibrillation and chronic kidney disease, which complicate her treatment options. Participants are educated on the significance of assessing cognitive state using the AMTS and the implications of lying on the floor for an extended period, particularly regarding potential muscle breakdown and acute kidney injury. The presenters emphasize the risk of head injury and bleeding due to her anticoagulant regimen. Through collaborative discussion, they examine the necessity for imaging, including a CT head scan, and classify the fracture type based on its anatomical location. Various management strategies are proposed, focusing on surgical options like hemiarthroplasty versus total hip arthroplasty, along with considerations of patient fitness and age. The interaction highlights the multidisciplinary approach to care in fragility fracture cases, establishing the importance of thorough assessments to ensure optimal surgical outcomes and recovery.

DOI: 10.1302/3114-230162

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