There’s No Problem With ORIF as a Tried and Tested Method (& FAME)  

Description

The transcript features a presentation by Xavier Griffin discussing the surgical treatment of ankle fractures, primarily focusing on Open Reduction and Internal Fixation (ORIF). Griffin begins by humorously positioning himself as a Mandalorian, emphasizing that "this is the way" of managing complex fractures. He describes the procedure of ORIF, detailing the intricacies of the surgical approach and its associated risks, including infection and complications leading to reoperation.



Griffin critiques the reliability of existing literature on ankle fractures, mentioning that while proper reduction is linked to better functional outcomes, factors such as age and injury severity significantly affect results. He points out the challenges faced by junior surgeons in performing lapses in malreduction and cites data on complication rates from randomized trials.



He shifts to discussing the FAME study, aimed at comparing ORIF with a non-surgical approach using casting. By presenting the need for comprehensive data to delineate the best treatment option for fractures in individuals under 60, Griffin engages the audience to participate actively in the study's recruitment efforts. In closing, he expresses optimism about the FAME trial's progress and invites collaboration from the audience.

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