The Characteristics, Outcomes and Management of Peri-Prosthetic Fractures Service Evaluation (COMPOSE): A Cohort Study

Description

The video presentation features Ashley Scrimshire, a registrar from the North East, discussing a study on peri-prosthetic fractures, which are increasingly common due to the rising number of arthroplasties and an aging population. Despite limited existing data, the study aims to provide comprehensive insights into patients who sustain such fractures, their management, and outcomes across the UK.



Ashley notes that peri-prosthetic fractures predominantly occur around hip and knee implants, with a particular focus on femoral fractures. The study analyzed data from 27 trusts in the UK, collecting information on 720 patients, comprising primarily elderly individuals with significant co-morbidities. The findings indicate that these patients often require surgical intervention but frequently experience long wait times for procedures and high complication rates during rehabilitation.



The length of hospital stay averages just under three weeks, with concerning readmission rates within the first month. Key takeaways include the need for improved understanding and management of these fractures, as well as recognition of their rising prevalence and the complex needs of affected patients, who mirror those sustaining hip fractures. Ashley concludes with a call for further research and enhancements to care and service delivery in this area.

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