Re-Operations After Cannulated Screws For Neck of Femur Fracture

Description

This transcript presents a medical talk by Mohannad Ammori, an ST8 registrar from the North West Deanery in England, concerning the subject of reoperations following the use of cannulated screws in neck of femur fractures. The presentation details findings from a significant retrospective study involving 420 patients who underwent 424 surgeries, providing insights into reoperation rates, mortality, and the overall effectiveness of different surgical approaches. Key highlights include a 16% reoperation rate within five years post-surgery and a striking 46% mortality rate during the same period. Notably, the most frequent reoperation was a conversion to total hip replacement. The analysis also emphasizes the importance of achieving an anatomical reduction of the fracture over initial displacement, suggesting that the outcomes of surgical fixation might be significantly improved with better reductions. Ammori critiques existing NICE guidelines and the quality of evidence behind current surgical recommendations, advocating for a reevaluation of practices concerning hip fracture management based on their findings.

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