Back to ICL360: Rotational Instability and Complications Following Extracapsular Hip Fracture Fixation

ICL360: Rotational Instability and Complications Following Extracapsular Hip Fracture Fixation

CME expires March 31, 2027

Go beyond traditional learning with a 360° perspective on orthopedic topics.

Each ICL360 is a cutting-edge CME course designed to provide a holistic learning experience, featuring curated video content sourced from expert-selected Instructional Course Lectures enhanced with insightful commentary and comprehensive assessment questions. This all-encompassing course goes beyond traditional learning by offering a complete 360° perspective on orthopedic topics. Explore additional resources, including full-text readings from the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), technique videos from Orthopaedic Video Theater (OVT), and links to external literature and PubMed. Elevate your clinical decision-making skills and gain a well-rounded understanding of essential orthopedic concepts with ICL360.

This course offers an extensive exploration into the complexities associated with the management of extracapsular hip fractures, focusing on the identification and prevention of malreductions, early detection of failures, and nuanced approaches to management, including deciding when to revise or replace fixations.


Author
Matthew L. Klima, DO, FACS, FAAOS, FAOAO

Reviewer
Umasuthan Srikumaran, MD, MBA, FAAOS


Learning Objectives

  • Identify types of malreduction commonly associated with extracapsular hip fracture fixation, including log-splitter, draw-bridge, and sag deformities, and apply surgical techniques to prevent these outcomes.
  • Use preoperative and intraoperative imaging studies to accurately assess and correct sagittal plane deformity before implant insertion, which helps minimize the risk of malreduction and early implant failure.
  • Recognize signs of rotational instability in patients with an extracapsular hip fracture, particularly reverse obliquity fractures, and apply advanced fixation techniques, including the use of torsion-control devices, to ensure stability.
  • Recognize failure beyond traditional metrics, incorporating indicators, such as severe proximal femur shortening, and understand implications with regard to patient outcomes.
  • Apply clinical judgment with regard to evidence-based practices in deciding whether to revise to a stable construct or perform arthroplasty, considering patient health, potential risks, and outcomes.
  • Develop skills to tailor surgical approaches to the needs of each patient with an extracapsular hip fracture, shifting away from a one-size-fits-all methodology.

  • Earn up to 5 AMA PRA Category 1 CME credits.

      • List Price - $135.00
      • Resident Price - $115.00

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