Top Tweets for #FNFX
@InvictaOrtho @sancleracot @traumaticum @orthotraumamd @DrMarecek @corralmunar @NitinKimmatkar @jamesablairMD Union rates are important to consider but what is the longer term AVN rate given the vascular insult to the head?
Holistic care for #FNFx must include longer term outcomes as I see a fair number of fixated FNFx that fail both early from nonunion and later with AVN.
@jbjs @jointdocShields @generalorthomd @sahipkneedoc @DrAntoniaChen @womenAAHKS It has long been known that hip Hemiarthroplasty for #FNFx has a lower DL rate due to the larger head.
Which approach was used in this study? Was it standardized in the cohorts? Average head size? Was DM used in THA group? So many variables. Not sure of takeaways here.
Meta Analysis suggests Hip Hemi has lower implant related complication and reoperation rates for elderly patients with #FNFx.
@AnsabKhwaja @marcusmilderman @CenterRotation @NaanDerthaal
Reading: “Internal Fixation #ORIF versus #Hemiarthroplasty for Nondisplaced Femoral Neck Fractures #NOF #FNFx in the #Elderly” via Journal of Orthopaedic Trauma @JofOrthoTrauma #OTA #OrthoTwitter
https://t.co/NzFIgwvjRP
Improved outcomes with direct anterior approach #DAA #hemiarthroplasty in femoral neck fractures #FNFx #NOF https://t.co/GwKlabBUbt
@BoneDocMMD @ExeterHipUnit Good to see someone else doing pressfit for #FNFx. Not everyone can do it right, but you...
@BoneDocMMD @ExeterHipUnit Don’t apologize. In expert hands, early complications can be avoided. The collared stem is one good consideration here.
Fact: After the first 90 days there is absolutely no difference between cemented and uncemented stems for #FNFx #NOF cases.
@InvictaOrtho @ebmanalytics @AjayLallMD @ExeterHipUnit @JArthroplasty @AAHKS @MilanSenMD @AONorth Indeed interesting. Both perspective and specialty matter in the decision making.
Do you know of large data to share and review on outcomes of “non displaced” #FNFx #NOF treated with pinning?
Perhaps We need to write a decision making paper?
@InvictaOrtho @AjayLallMD @ExeterHipUnit @JArthroplasty @AAHKS @MilanSenMD @AONorth The assertion that a hip replacement for a 62 year old will be doomed to eventual failure is conflicts with the modern data, yet I hear this all the time.
THA for #FNFx has a higher DL rate than hemi, esp. posterior, but If done well should not fail by wearing out.
@Cuff_j17 @JArthroplasty 2 working windows
1 Anatomic hip reconstruction
0 muscles damaged
No postoperative precautions, WBAT.
The #DAA should be considered as a priority for patients undergoing hip hemi Arthroplasty and THA after #FNFx. We must serve our patients to deliver superb results!
@FixnBones @JArthroplasty I absolutely agree!! We must achieve stable fixation to allow WBAT after #FNFx.
Our work in @BoneJointJ with @argalivan @TaylorOttesen @CherylZogg @JNGrauer was among first to show ⬆️ mortality in #geriatric patients with restricted WB.
https://t.co/AVmDnxTAHx
@DominicMarley @JArthroplasty Do you maintain any indication to fix nondisplaced #FNFx or are you doing Arthroplasty for all? That remains a central question for this case.
@generalorthomd @JArthroplasty The first surgery is indeed the best surgery for Arthroplasty in #NOF #FNFx, but in this case the patient presented well after the index procedure so the goal is determining a diagnosis and planning the next steps to ensure a satisfactory result
@ClaudioDiazMD @orthopedicpearl @hugortopedista @DrAntoniaChen @DrDDA2 @fbengoatrucco Beautiful work! Nicely done ✅!
I believe the #DAA has a major role in hip fracture #FNFx patients, as this vulnerable population has the greatest short term risk profile after surgery and needs improved early recovery immediately post op, even moreso than elective THA.
@ClaudioDiazMD Just need sufficient femoral exposure. Can achieve readily with small postero lateral release over the corner of posterior GT, femoral elevation, and extension via bed hinge. Here is a recent Summit Cemented stem I did for a small elderly lady with a #FNFx:
Reading: “Outcomes of Total Hip Arthroplasty Via the Direct Anterior vs Alternative Approaches for Acute Femoral Neck Fractures” #DAA #Fx #FNFx #OrthoTwitter
Technique matters for the most vulnerable patients.
https://t.co/dtvlbpRIWI
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