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- Talk
- 21/09/2022
- UK
Welcome & Introduction to the Session, Upper Limb Trauma Cases, Lower Limb Trauma Cases (Focus on Periprosthetic Fractures of Femur), Foot & Ankle Trauma Cases
Description
In this engaging and informative session, Dr. Nikhil Shah leads an interactive discussion focused on periprosthetic fractures of the femur. The presentation is structured into three main case studies showcasing different scenarios related to lower limb injuries. Dr. Shah introduces the topic by outlining the goals of the session, emphasizing the importance of learning from experiences to avoid complications in surgical treatments of these fractures.
The first case involves a gentleman with a well-functioning cemented total hip replacement who experiences a fracture after a fall abroad. Despite initial fixation attempts abroad, Dr. Shah reviews the adequacy of this fixation with audience participation. Panelists, including experienced hip surgeons, are called upon to discuss possible issues with the fixation, leading to a conversation about reduction adequacy and the challenges presented by medical comminution.
They also analyze subsequent complications at six months post-operation and debate whether to repair or revise the fixation. Audience members contribute questions regarding surgical decisions, highlighting the balance between urgency and appropriate surgical expertise.
The second case presents a 79-year-old woman with an injury after a fall, prompting similar discussions regarding bisphosphonate-induced fractures and the effectiveness of surgical versus non-surgical treatments. The dialogue continues with an exploration of clavicle fractures managed by surgeons with varying perspectives on the operational approach.
Overall, the session not only highlights the complexities of treating orthopedic fractures, especially in the elderly, but also emphasizes the necessity for tailored management strategies, proper preoperative assessments, and thorough post-operative care. Guests are left with a checklist approach to fracture fixation and encouraged to engage in further discourse on orthopedic practices.