Description
In this presentation, Yelena Bogdan discusses recent lower limb research published in Bone and Joint 360, highlighting its clinical relevance for surgeons. The talk begins with an analysis of occult femoral neck fractures, which can occur in patients with femoral shaft fractures and often go undetected, leading to serious complications. A study shows that CT scans may miss these fractures, suggesting MRI as an alternative, though it's not widely available. The capsular sign seen in CT can predict these occult fractures effectively. Moving on, the presentation covers a study on suprapatellar nailing of tibial fractures, where the Anterior Tubercle Angle (ATA) was analyzed for its impact on nailing technique success. The findings suggest that high ATA could favor infrapatellar approaches, while low ATA may benefit from suprapatellar techniques. Other studies discussed include the management of pilon fractures with staged external fixation and the potential for treating open ankle fractures immediately after debridement, providing evidence that with clean wounds, one-stage procedures can lead to fewer complications. Overall, the presentation emphasizes the importance of careful imaging and surgical techniques for optimizing outcomes in lower limb injuries.