Can you explain what that means to people? Why you fix those broken hips, even though we will call them all broken hips, why we fix them in different ways?

sure hip fractures in general just probably when you were in training when i was in training and to this day are like an epidemic right they are happening so frequently and when i see a patient with a broken hip i tell him or her that this is probably one of the most common surgery i and other orthopedic surgeons who take call perform they're just so common And they're obviously guarding a variety of different hip fractures.

And some of them occur just from a low energy ground level fall, like you tripped over your dog, or I used to say tripped over the phone cord, but nobody has really phones at home anymore, or a little step or a carpet.

It's just a ground level fall that caused your hip fracture.

And I tell them, yeah, you're 75 years old, but if it was 20 years ago, same mechanism, you probably wouldn't have broken your hip.

So these are kind of what we call fragility fractures, right? They're just your bone is so weak and osteoporotic that just a ground level fall would cause you to have this hip fracture.

But hip fractures can also occur in younger patients where you have high energy type of accidents like a fall from a roof 10 feet or a motorcycle accident or a high energy, high velocity motor vehicle accident.

So what exactly is an acetabular fracture and why is breaking the socket of the hip such a different problem from a typical hip fracture?

... 'cause doctors have-

So then ev- everything comes up to, uh, to the operating room, and when you book a case, "Hey, I wanna do, you know, this patient and, and fix this one or two bones," I tell them exactly, first, what room I wanna use.

I want the biggest room possible.

They ask me if I need C-arm, right? So I want fluoroscopy in the room 'cause I'm gonna be using X-ray, uh, technology in the operating room, the C-arm fluoroscopy.

Then I want to know what, what table I'm going to use, right? Typically, we always use the flat top Jackson table because that allows us to bring that CR machine and manipulate that machine any way we want without any impedance from the table, so we can look at the bone.

Uh, they wanna know what, what position you want, right? "Doc, what, what position you want the ta- the patient in," right? Is it gonna be supine? Is it gonna be lateral? Is it gonna be prone? Depending on what we're fixing and the approach that we're using.

And then comes the equipment.

the fractures that, uh, tend to happen.