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This lecture by the instructor covers the basics of orthopaedic implant design, focusing on improving fixation in poor quality cancellous bone. The presentation includes a historical overview of implant failures, biomechanical considerations, implant materials, and the development of innovative solutions such as screw augmentation. The instructor also discusses the prevalence of fractures, the biomechanics of hip fractures, and the future trends in biomaterial projects. The lecture emphasizes the need for collaboration in addressing clinical challenges and highlights the development of adhesive technologies for small fragment fixation in orthopaedics.