Casting: the junior Ortho Pod
Casting: the junior Ortho Pod
Ajay Shah
Episode 1: Hip Fractures
30 minutes Posted Jan 24, 2021 at 10:41 pm.
Background (Hip Fractures)
Assessment
Anatomy
Diagnosis
Femoral Neck Fracture (FNF) Classifications
Pauwel's Classification
Garden Classification
FNF Treatment
Stable FNF Treatment Options
Assessing Intraoperative Reduction
Cancellous Screw ORIF
Sliding Hip Screws
FAITH trial
Unstable FNF Treatment Options
Hemiarthroplasty vs THA
HEALTH trial
Intertrochanteric Fractures (ITF)
ITF Classification
ITF Treatments
Subtrochanteric Fractures
Clinical Scenario & Practical Tips
Summary
0:00
30:59
Download MP3
Show notes
Summary: I'm joined by Mo Sarraj (PGY-2) to discuss hip fractures. Learning objectives are (1) accurately classify fractures of the proximal femur, (2) describe treatment options for each fracture type, (3) understand landmark RCTs in hip fracture management, (4) learn high-yield pearls for managing hip fracture patients in residency.
Timestamps:
Resources:
Hip Fracture Management Summary Paper (NEJM, 2017): https://www.nejm.org/doi/10.1056/NEJMcp1611090
HIP ATTACK (Lancet, 2020): https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30058-1/fulltext
FAITH (Lancet, 2017: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30066-1/fulltext
HEALTH (NEJM, 2019): https://www.nejm.org/doi/full/10.1056/NEJMoa1906190 
Intertrochanteric Fracture Treatment Biomechanics (IJO, 2015): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443419/ 
OrthoBullets: https://www.orthobullets.com/trauma/1037/femoral-neck-fractures & https://www.orthobullets.com/trauma/1038/intertrochanteric-fractures