A Sino-German Video Conference Talking about the Treatment Concepts of Periprosthetic Fractures
2020-12-29 15:52:27Guangzhou Gloryren Medical Technology Co., Ltd48
The Sino-German Video Conference on Geriatric Trauma came to a successful conclusion in the afternoon of 18th December at Guangdong Provincial Hospital of Traditional Chinese Medicine. Prof. WANG Haizhou, Head of the Department of Geriatric Fractures at Guangdong Provincial Hospital of TCM attended and hosted the conference. Prof. Thomas Freude, Head of Department of Orthopedics and Traumatology, University Medical Center PMU Salzburg was invited to share a lecture on the topic of "Periprosthetic Fractures Treatment Concepts" and Dr. YANG Bing from Guangdong Provincial Hospital of TCM shared a case discussion.
Sino-German Video Conference on Geriatric Trauma
At the beginning of the meeting, Prof. WANG Haizhou extended a warm welcome and sincere greetings to Prof. Freude and gave an overview of his Department of Geriatric Fractures of Guangdong Provincial Hospital of TCM, with special emphasis on their Red line system, 3R treatment model, robotic surgery and Lingnan Bonesetting Technique.
Prof. Freude praised the Lingnan Bonesetting Technique introduced by Prof. Wang, remarking that it is very efficient for the treatment of orthopaedic injuries, which is impressive when compared to the European orthopaedic surgery. Prof. Freude also thought that the highly differentiated geriatric fracture department at Guangdong Provincial Hospital of TCM, with its emphasis on interdisciplinary cooperation, is similar to the European ones.
Prof. Freude then gave an introduction of the Department of Geriatric Trauma established four years ago at the University Medical Center PMU Salzburg, where the department cooperates actively with other departments, e.g. the departments of Cardiovascular, Pharmacy, Anesthesiology and Rehabilitation, to provide a both effective and efficient treatment and rehabilitation plan for geriatric patients of orthopaedic injuries. This interdisciplinary cooperation treatment model functions as the same way as the Red line system and 3R treatment model applied in the Department of Geriatric Fractures of Guangdong Provincial Hospital of TCM.
Then Prof. Freude started his lecture, titled Periprosthetic Fractures Treatment Concepts.
In his lecture, Prof. Freude firstly shared with us some data on the incidences of periprosthetic femoral fractures under different scenarios. The incidence of periprosthetic femorol fractures is 1% intraoperatively, with cemented prostheses used. The incidence would increase to 3%-18% with cementless prostheses used. The incidence of fracture is 1.1% post-operatively after primary Total Hip Arthroplasty(THA) and increases to 4-21% after revision THA. Then he pointed out that when it comes to handling periprosthetic femoral fractures, the problems could be complex, for example, different prosthetic components used (proximal and distal) requiring different treatments, the compromised bone quality needing to be considered and the patients usually made up of the elderly; And the goals of treatment should focus on restoration of axial limb alignment, restoration of rotation center, avoidance of fracture propagation, maintenance of component position and alignment, reconstruction of bone defects, early mobilisation, fracture healing and long-term stability of arthroplasty component(s). In the end of his lecture, Prof. Freude introduced us the Vancouver Classification and the corresponding treatment plans for diagnosing and treating different kinds of periprosthetic fractures, and shared some cases to further illustrate the applications of different prostheses.
Following with Prof. Freude’s lecture, Dr. YANG Bing, from the Department of Geriatric Fractures at Guangdong Provincial Hospital of TCM, shared a case of periprosthetic hip fracture. Regarding to the case, Prof. Freude saw eye to eye with Dr. Yang in using a long stem prosthesis for revision, and recommended him taking a biopsy during the revision surgery to test if there is any microbial infection. He advised that antibiotics should be used as part of the treatment if infection is involved.
At the end of the meeting, Prof. Freude thanked for the invitation from the Department of Geriatric Fractures at Guangdong Provincial Hospital of TCM and Gloryren to this wonderful meeting, and praised that the treatment concepts and methods proposed by his Chinese colleagues are well-targeted, among which the Red Line system and 3R treatment model are considered as systematic and standardized. Prof. Freude thought highly of the works of his Chinese colleagues done for geriatric fractures, and envisioned an in-depth exchange with the Department of Geriatric Fractures at Guangdong Provincial Hospital of TCM.