Simple Ankle Fractures in Complicated Patients - What Do We Really Know - Discussion 

Description

The VTT transcript captures a lively panel discussion focusing on surgical practices, particularly concerning ankle fractures. The session begins with Nikki Kelsall inviting questions from the audience and introducing Xavier Griffin, who remarks on the long line of volunteers expected to provide inquiries. The conversation transitions to the scrutiny of complication rates associated with open reduction internal fixation procedures, emphasizing the need for experienced surgeons to undertake these operations. Audience members express concern over high malreduction and deep infection rates in ankle fracture surgeries, sparking a debate on improving surgical outcomes and the training of junior surgeons.



The dialogue includes discussions on specific surgical techniques, their effectiveness in managing rotation during fibular nail procedures, and the importance of achieving adequate alignment and reduction during surgery. Tim White shares insights into maintaining standards during training and highlights the significance of using advanced techniques like fluoroscopy, especially for older patients and those with complex fractures.



Amidst technical discussions, there's recognition of the need for more robust studies comparing different fixation methods and the focus on patient-reported outcomes, such as the OMAS score, to gauge surgical success. Multiple audience interactions underscore a collective interest in refining surgical practices and addressing the gaps in current research and training methodologies. Ultimately, the session emphasizes the intricate balance between theoretical knowledge and clinical expertise necessary for improving surgical outcomes in orthopedic practices.

DOI: 10.1302/3114-221560

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