OTS/BOA Trauma Committee: Span and Scan and DCO - How to Avoid Too Many External Fixators

Description

This transcript captures a presentation by Michael Kelly, who discusses the avoidance of external fixators (ex-fixes) in medical practices, particularly in the context of orthopedic surgery. Kelly expresses his gratitude for the opportunity to share insights, while also inviting comments and opinions from the audience. He openly discloses his disdain for ex-fixes, which serves as a driving motivation for his talk.



Throughout the presentation, he emphasizes the need for thorough planning and decision-making in surgical procedures, advocating for more sustainable and cost-effective alternatives.



Kelly illustrates his points by referencing the process of treating fractures, such as pilon fractures, and provides a case study of a patient who jumped from a window during a domestic dispute. He critically evaluates the efficacy and cost implications of ex-fixes, asserting that they do not simplify fixation, can be expensive, and pose challenges in patient care.



The presentation includes statistical evidence from research, revealing that ex-fix usage may lead to higher surgical costs without improving outcomes. Kelly emphasizes the importance of soft tissue management in surgery, urging the audience to reconsider established surgical dogmas and adopt innovative techniques that align with contemporary practices.



He concludes with a compelling argument about sustainability in medical practices, drawing a humorous yet impactful parallel to environmental issues, stating that excessive use of ex-fixes could metaphorically lead to 'killing baby penguins.' The tone remains engaging and light-hearted, underscored by moments of humor to keep the audience's attention on the serious topic of surgical efficiency and patient welfare.

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