Open fractures and Orthoplastics - Mr Kavi Patel, part 1
Summary
This on-demand teaching session, presented by an orthopedic consultant at the Royal London, covers the crucial topic of open fractures. He provides insights into the improvement of their treatment, the reduction of complication rates, and the inherent risks associated with these types of injuries. The session stresses the necessity of close cooperation with plastic surgeons in treating open fractures effectively. It promises to offer insightful tips to enhance patient outcomes and strategic contingency planning when things do not go according to plan. This essential learning module will also discuss the sometimes necessary option of amputation. Engage with this educational session to improve your understanding of and technique in managing open fractures.
Learning objectives
- Understand the history and evolution of open fracture treatments from both an orthopedic and plastics perspective.
- Identify the potential risks and complications associated with open fractures, including infection and non-union.
- Recognize the importance of collaboration between orthopedic and plastic surgeons in treating open fractures.
- Develop strategies for creating contingency plans when standard treatment plans for open fractures do not go as expected.
- Acknowledge that amputation is a potential outcome in severe cases of lower limb traumas and develop comfort in discussing this option with patients when necessary.
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Computer generated transcript
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
Afternoon everyone. So my name is I'm one of the um orthopedic consultant at the Royal London and I treat a lot of the open facts of a lot of the lower limb trauma and the reconstruction work. So, um I was asked today to talk a bit about open fractures and I know you guys have had a talk from a plastic surgeon at Adam Brooks about the soft tissue aspect of things. So I'll try and link it with the bony side. They're very closely linked as you've probably understood by now. So if you get to the next page, yeah. Uh Nick, are you unable to nick the lights moving at all? I can't, I can't hear you. Uh you on me at the moment. You neck. Yeah. Yeah. It's uh it's moving on for me. Just let me um let me try it again. Oh OK. Amazing. OK. So, um these are, I think the main points that I think I'm gonna go through in this talk, I'm gonna try and stress the importance of all of these. So, um we're getting better at treating open fractures both from a plastics and orthopedic perspective and that means that outcomes are slowly improving. Um historically, um open fractures were known for their high complication rates. That's now um also the complication rates reducing. But we still have to accept that these do carry um a higher risk of infection non union, er, compared to your standard fracture. Um There are a few things that we can do as part of the patient's journey to try and make things uh make their outcome as as good as possible. Um And we'll go through some of those important things. Um We know that working closely with plastic surgeons is crucial. Um And um sometimes, you know, things don't go as planned and you need to have a backup plan or a plan B, plan C when dealing with these types of injuries. And I think A as I'll allude to later, um You should always be aware that amputation is an option. Uh Next slide.