Adult Hip 3 (disc): Periprosthetic Fractures: Is This Stem Stable? The Case of Mark Grana: A Virtual Fellowship Interactive Multimedia Program

The Case of Mark Grana offers a wide-range of practical education on adult reconstruction and hip trauma.

""Is This Stem Stable? The Case of Mark Grana"" begins with Mr. Grana's arrival at the local ED and the radiographs taken by the ED staff. Your initial focus is how to determine whether Mr. Grana's implant is stable, whether infection is an issue, and how to classify the fracture. Pre-operative planning includes a consideration of the previous arthroplasty and how it impacts the selected repair; it looks at failure rates and mortality rates.

The surgical section begins with the operative setup and patient positioning. Video demonstrates each step from the exposure and reduction to passing cables, bending and inserting the plate, fixing the proximal fragment, and repairing the vastus lateralis. Intraoperative periprosthetic fractures are also introduced. A separate section provides full-length articles and a video for further study.

This virtual fellowship program combines interactive questions and answers with short articles, full-length articles, images, and videos of an actual patient, resulting in a self-paced educational program that is peer-reviewed, convenient, fun, and developed by some of the best orthopaedic surgeon-educators in the world.

Enhance your ability to:



correctly distinguish a stable from unstable stem
recover in the OR
properly incise, then repair the vastus lateralis
avoid the sciatic nerve when you reduce the fracture
determine the appropriate proximal and distal extent of the plate
insert screws when the implant is in the way