Peritrochanteric femur fractures - Do they all need to be nailed?
Session 2 from the 16th Annual Philadelphia Orthopaedic Trauma Symposium, June 7, 2024. Moderated by Derek Donegan MD (University of Pennsylvania) with panelists Marc Swiontkowski MD (University of Minnesota), Abraham Appleton MD (Guthrie Clinic), Kenneth Graf MD (Cooper Medical School), and J. Spence Reid MD (PennState Health). Concepts of stability vs instability and classification in choosing treatment methods are discussed. Understanding when plates may be a better option are also emphasized. Case discussions with the panel, as well as evidence from the literature are included.
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Excellent discussion and very educational! An instructive video showing how IM nailing in a patient laterally positioned would be so helpful. For example, would you apply traction (skeletal or skin) on the injured leg, how to position the C-arm for fluoroscopic views, etc.