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JBJS Webinar: Femoral Neck Fractures

Start Date:6/28/2021

Start Time:8:00 PM EDT

Duration:60 minutes

Abstract:

Consulting with their patients, orthopaedic surgeons make many decisions each day by weighing the best evidence available. One frequent—and controversial—decision is how best to treat displaced femoral neck fractures, a common injury among elderly patients.

Often this choice comes down to hemiarthroplasty (HA) or total hip arthroplasty (THA). The preponderance of evidence suggests that outcomes from both procedures are nearly equivalent. On Monday, June 28, 2021, a 1-hour complimentary webinar from JBJS will delve into the most recent findings about this dilemma.

Mohit Bhandari, MD, PhD will present findings from a 2020 Level-I meta-analysis of 16 randomized controlled trials. Functional outcomes and 5-year rates of revision and dislocation were similar between groups. THA eked out a small advantage in health-related quality of life, and HA yielded minor reductions in operative time.

Bheeshma Ravi, MD, PhD will then discuss data that compare the two procedures in terms of complications and costs. Based on findings from this propensity score-matched analysis, the nod goes to THA, with lower 1-year rates of revision surgery and lower health-care costs.

Moderated by Bassam A. Masri, MD, FRCSC, the webinar will feature expert commentaries on these “neck-and-neck” findings. Pierre Guy, MD will comment on Dr. Bhandari’s paper, and Kelly Lefaivre, MD will weigh in on Dr. Ravi’s paper.

The webinar will conclude with a 15-minute live Q&A session during which attendees can ask questions of all the panelists.

Seats are limited, so RESERVE YOURS TODAY.

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Speakers

Bassam Masri, MD

Professor of Orthopaedics, University of British Columbia

Head, Department of Orthopaedics, Vancouver General Hospital

Dr. Masri received his medical degree from the University of British Columbia (UBC), where he also completed his orthopaedic surgery residency and a fellowship in adult reconstructive orthopaedics and musculoskeletal oncology. He completed a second fellowship in adult reconstructive orthopaedics at the Hospital for Special Surgery and returned to Vancouver, where he became a clinical instructor at UBC, a hip and knee surgeon at Vancouver General Hospital (VGH), and a musculoskeletal oncologist at VGH and the BC Cancer Agency. Dr. Masri has served as Head of the Division of Reconstructive Orthopaedics at VGH and UBC Hospitals, Head of the Division of Lower Limb Reconstruction and Oncology at UBC, and Head of the Department of Orthopaedics at UBC. He currently heads the Department of Orthopaedics at VGH and UBC Hospital. Dr. Masri is a Past President of the Canadian Orthopaedic Association and a member of numerous invitation-only scholarly societies, including the Hip Society, the Knee Society, and the International Hip Society.

Mo Bhandari, MD

JBJS Author, Professor and Chair, Division of Orthopaedic Surgery, McMaster University

Dr. Bhandari currently serves as a Distinguished University Professor and Academic Chair in the Division of Orthopaedic Surgery at McMaster University. He holds a Senior Tier Canada Research Chair, a master’s degree in Health Research Methodology from McMaster University, and a PhD from Goteborg University. He is a recognized global leader in evidence-based surgery and orthopaedic research, having received the prestigious Royal College of Physicians and Surgeons Medal, the Edouard Samson Award, and the Kappa Delta Award. He has been acknowledged among the top 10 most-cited orthopaedic fracture surgeons in the world, with more than 1,000 papers published. Dr Bhandari has edited several major orthopaedic textbooks, including the best seller Evidence-Based Orthopaedics. For his lifelong research and advocacy, Dr. Bhandari has been inducted into the Order of Canada and the Order of Ontario.

Bheeshma Ravi, MD

JBJS Author, Assistant Professor

University of Toronto

Dr. Ravi is an Assistant Professor in the Department of Surgery at the University of Toronto, with a subspecialty practice in total joint arthroplasty. He is a member of the Division of Orthopaedic Surgery at Sunnybrook Health Sciences Centre and an Associate Scientist at Sunnybrook Research Institute. His research is primarily focused on improving outcomes for patients who have undergone total joint replacement and other orthopaedic procedures. He completed his medical degree and his orthopaedic surgical training at the University of Toronto. He also completed a fellowship in adult reconstruction at the Mayo Clinic in Arizona. During his residency, Dr. Ravi obtained a Doctorate in Clinical Epidemiology and Health Care Research from the Institute of Health Policy, Management and Evaluation at the University of Toronto.

Pierre Guy, MD

JBJS Commentator, Professor and Head, Division of Orthopedic Trauma

University of British Columbia (UBC)

Dr. Guy is a Professor and clinician-scientist at UBC Department of Orthopaedics, where he heads the Division of Orthopaedic Trauma and co-directs the Centre for Hip Health and Mobility. His medical training and residency were completed at McGill University, followed by orthopaedic trauma fellowships in Hannover and Berlin, Germany and at UBC. Dr. Guy also holds an MBA from the John Molson School of Business, Concordia University. He is a practicing orthopaedic trauma surgeon at Vancouver General Hospital’s Level I trauma centre. He is a founding member of the Canadian Orthopaedic Trauma Society and an active member of the Canadian Orthopaedic Association and the Orthopaedic Trauma Association.

Kelly Lefaivre, MD

JBJS Commentator, Associate Professor

University of British Columbia (UBC)

Dr. Lefaivre contributes excellence in teaching, research, and clinical care for the Division of Orthopaedic Trauma in the Department of Orthopaedics at UBC. Her clinical interests include reconstruction of post-traumatic conditions and deformity, the minimally invasive treatment of pelvic and acetabulum injuries, and the treatment of post-traumatic conditions of the pelvis. She is a recognized expert in the measurement of outcomes following trauma and in the longitudinal trajectory of recovery following injury. She also has interest and expertise in issues related to diversity in orthopaedic surgery. The primary investigator for an ongoing large, multicentre randomized trial, Dr. Lefaivre is a dedicated educator and the recipient of the UBC Resident Teaching Award in 2019. She has supervised more than 100 peer-reviewed presentations and publications for residents and fellows.
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