Description
In this presentation, Roger Walton discusses his 10-year experience in joint management and fracture repair, tackling the complexities of diagnosing joint displacement using unsusceptible X-ray methods. He explains that while certain classifications of fracture displacement exist, they often do not correlate with actual joint status, making them impractical in clinical settings. Instead, he utilizes a straightforward decision tree based on radiograph views to classify joints as intact, displaced, or uncertain, followed by management protocols that include active non-operative management for intact joints and open reductions for displaced ones. He also elaborates on the arthrogram technique to confirm joint status when uncertain, demonstrating a meticulous approach to reduction and fixation using wires, with careful attention to the anatomy to prevent complications. Walton stresses the importance of thorough assessment and proper surgical techniques, including the significance of aligning the entry points for wiring, to achieve optimal outcomes in fracture management.