Management of Failed Hip Fracture Fixation

Accreditation Statement: The Orthopaedic Trauma Association (OTA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation:  OTA designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learning Objectives

After completing this activity, learners will be able to:

1. Identify mechanisms of failure (reduction, fixation, infection, etc.).
2. Discuss treatment options for various scenarios.
3. Discuss how patient history and function combine with fracture pattern / mechanism of failure to guide treatment selection. 
4. Discuss coordination of trauma and joint arthroplasty attendings when multiple skill sets involved. 

Faculty

• Kyle Judd, MD
• Michael Willey, MD
• Will Lack, MD
  Benjamin Stronach, MD

Original release date: 7/13/2020

Last Review Release Date: 3/13/2022

Expiration date: 3/13/2025

Estimated time to complete activity: 1 hour

Statement of Need/Description/or Summary of Gap Analysis

Case-based format providing examples of clinical scenarios involving malunited and non-united geriatric hip fractures.  

Instructional Format: Online on-demand webcast consisting of slides and audio.

Method of Participation: There are no fees for members to participate in this activity. Non-members must pay $40. To participate in the activity, physicians will be required to take the following steps:

• Read the learning objectives and faculty disclosures.
• Participate in the activity.
• Complete the activity evaluation.
• Participants who successfully complete the evaluation will receive  AMA PRA Category 1 Credits™.

Disclosures:

The Orthopaedic Trauma Association has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education (ACCME) Standards for Integrity and Independence in Accredited Continuing Education requiring mitigation of all conflicts of interest. Faculty declaring a relevant commercial interest must be identified in the activity syllabus and/or program.

In accordance with disclosure policies of OTA and the ACCME, every effort has been made to ensure all CME activities are balanced, independent, objective, and scientifically rigorous. These policies include complying with ACCME’s Standards for Integrity and Independence in Accredited Continuing Education and mitigating all relevant conflicts of interest for all individuals in control of content.  

All of the relevant financial relationships listed for these individuals have been mitigated

William Lack, MD (Moderator/Speaker)

Disclosures: Journal of Orthopaedic Trauma: Editorial or governing board

Kyle Judd, MD (Speaker)

Disclosures: AAOS: Board or committee member; AO Trauma: Paid presenter or speaker; DJ Orthopaedics: Research support

Benjamin Stronach, MD (Speaker)

Disclosures: AAOS: Board or committee member; American Association of Hip and Knee Surgeons: Board or committee member; DePuy, A Johnson & Johnson Company: Research support; DJ Orthopaedics: Paid consultant; Paid presenter or speaker; Joint Development LLC: Stock or stock Options; Mississippi Orthopaedic Society: Board or committee member; OrthAlign: Paid consultant; Sawbones/Pacific Research Laboratories: IP royalties; Smith & Nephew: Paid consultant; Tightline Development LLC: IP royalties

Michael Willey, MD (Speaker)

Disclosures: Biomet: Research support

Samir Mehta, MD (Planner) 

Amgen Co., Research Support; Medtronic, Research Support; DePuy Synthes, Research Support; Smith & Nephew, Consultant, Presenter, Research Support; DePuy Synthes, Consultant; Zimmer, Presenter 

Eben A Carroll, MD (Planner) Disclosures: Globus Medical, IP Royalties; Smith & Nephew, Consultant, Presenter, Research Support; DePuy Synthes, Consultant, Speaker, Research Support

Utku Kandemir, MD (Planner) Biomet, Research Support; Stryker, Presenter, Research Support; DePuy Synthes, Research Support

Hassan Mir, MD (Planner) Core Orthopaedics, Stock; Pharmacon Group, Consultant; Smith&Nephew, Consultant; Zimmer, Consultant 

Brian Mullis, MD (Planner)  Zimmer, Consultant, Presenter, Research Support 

David Weiss,MD (Planner)  AAOS: Board or committee member, Globus Medical: Paid consultant, Orthopaedic Trauma Association: Board or committee member Saunders/Mosby- Elsevier: Publishing royalties, financial or material support Synthes: Paid consultant

Sara Arns (Staff)

(This individual reported nothing to disclose);

Sharon Moore (Staff)

(This individual reported nothing to disclose);

Disclaimer: The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by the AOA.  In no event will the AOA be liable for any decision made or action taken in reliance upon the information provided through this CME activity.

Commercial Support: There is no commercial support for this activity