Orthom8 Newsletter #2

FRCS Feb 14, 2023

๐Ÿ‘‹๐Ÿพ Welcome to this edition of the fortnightly Orthom8 newsletter.

What about hip fractures in atypical patients? Or is it atypical hip fractures?

My name is Harry Benjamin-Laing and I'm the founder of Orthom8.

I'm very pleased that you have taken the time to sign up to the membership. I look forward to getting to know you all, interacting and hopefully collaborating.

This newsletter is aimed at those preparing for the FRCS examinations but will be useful for those preparing others for the exam. There is only one outcome we are all interested in and that is an Exam PASS ๐Ÿฅณ.


Following the last edition on hip fractures there were still some topics that hadn't been discussed.

Although we discussed anatomy, diagnosis, classifications, paediatric hip fractures, pathological fractures and hip fractures associated with femoral shaft fractures the voice in my head wondered if this was enough.

"What about the Young adult hip?"
Young adult hip fracture
This provides the usual demonstration of higher order thinking. The majority who have worked in local hospitals are used to hip fractures occurring in the elderly but it is a different challenge in a young adult patient. Young adults generally have good bone quality and therefore only sustain injurโ€ฆ

What about hip fractures in atypical patients? Or is it atypical hip fractures?

Atypical hip fractures
The onset is insidious and can often be underestimated by both patients and healthcare professionals. Stress fractures of the femoral neck Stress fractures in the hip are rare and can occur on the compression side of the hip or the tension side. There is typically a history of an unusual

What approach should be used?

Hip approaches
There are a variety of approaches used to reach the hip depending on indication. This may be * Fracture fixation * Arthroplasty * Infection Anterior (Smith-Peterson) approach to the hip Hardinge approach Watson-Jones approach to the hip Posterior approach to the hip This is not an exhaโ€ฆ

Some of these hip fractures scenarios are particularly challenging because the solutions require more planning and thought. This provides an opportunity to assess Higher Order thinking. Despite the advances in technology nothing is quite as good as a native hip.

This is not an exhaustive list but hopefully it will give you an understanding of the principles and the considerations required for decision making.


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