Hip Fracture: The Rest Isn't Orthopaedics

10. "What operation do I need?" - with Matt Costa


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Welcome back to a very special episode, joined by Matt Costa, surgeon and professor of orthopaedics in Oxford. We dive into Grace's questions about her operation, clarifying why surgery is so important and unpack the differences between intracapsular and extracapsular hip fractures and their management. We finish by touching on subtrochanteric fractures, and exploring some of Matt's pioneering research in the field. We hope you enjoy!


Links:

Hip fracture: https://pmc.ncbi.nlm.nih.gov/articles/PMC1488757/

Hip fracture management NICE guidelines: https://www.nice.org.uk/guidance/cg124

WHiTE 5 trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2108337

WHiTE 11 trial: https://www.ndorms.ox.ac.uk/research/clinical-trials/current-trials-and-studies/fruiti

HEALTH trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1906190

Cochrane evidence: https://www.cochrane.org/evidence/CD013405_which-are-best-treatments-hip-fractures-older-adults

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Hip Fracture: The Rest Isn't OrthopaedicsBy Dr. Raihaan Biju and Professor Antony Johansen