scholarly journals Adherence to guidelines regarding total hip replacement for fractured neck of femur

2016 ◽  
Vol 98 (6) ◽  
pp. 422-424 ◽  
Author(s):  
A Fishlock ◽  
C Scarsbrook ◽  
R Marsh
Keyword(s):  
Hip Fracture ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Best Practice ◽  
Treatment Strategies ◽  
National Average ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Total Hip ◽  
American Society

Introduction In 2011 the National Institute for Health and Care Excellence (NICE) published guidelines suggesting that clinicians offer total hip replacement (THR) to patients with displaced intracapsular hip fractures who could walk independently outside with no aids or one stick, who are not cognitively impaired and are ASA (American Society of Anesthesiologists) grade ≤2. They also stated that best practice is operating within 36 hours of presentation. This audit aimed to determine whether Scarborough Hospital was following these guidelines and compared the results with the national average. Methods Two years of data (January 2012 – December 2013) were collected retrospectively from Scarborough Hospital’s hip fracture database on all patients presenting with an intracapsular hip fracture. Data were analysed to determine whether patients who had a THR fulfilled NICE criteria. Furthermore, patients with hemiarthroplasties who were eligible for THRs were identified. Finally, the time to surgery was calculated to examine whether patients receiving THRs waited longer than patients receiving hemiarthroplasties. Results In 2012, 48.6% of all eligible patients received a THR while in 2013 the figure was 55.9%. These percentages are much higher than the national average. However, 36 (53.7%) of the 67 patients who received a THR did not fulfil all the NICE criteria, mainly owing to high ASA grade. The mean time from presentation to theatre for THR was 8 hours and 37 minutes longer for THR patients than for hemiarthroplasty in 2012. This difference was reduced to 2 hours and 12 minutes in 2013. Conclusions Small general hospitals can meet and even exceed the standards regarding treatment strategies for hip factures. However, there is still room for improvement. Departmental training may be useful in achieving this aim. The anaesthetic team should be involved at the earliest opportunity, to help optimise patients preoperatively and determine whether patients listed for THR with higher ASA grades are suitable for this surgery.

Short-term (2 years) results of primary total hip replacement in 40 mobile elderly patients with fractured neck of femur

2017 ◽  
Vol 52 (3) ◽  
pp. 175
Author(s):  
SherifA Khaled ◽  
MohamedS Abd El-Maksoud Mohamed Ismail ◽  
Ashraf El-Nahal ◽  
Ibrahim El-Geady
Keyword(s):  
Elderly Patients ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Short Term ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Total Hip

scholarly journals Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery

2012 ◽  
Vol 94 (3) ◽  
pp. 193-198 ◽  
Author(s):  
GH Stafford ◽  
SC Charman ◽  
MJ Borroff ◽  
C Newell ◽  
JK Tucker
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
National Joint Registry ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
England And Wales ◽  
Total Hip ◽  
Joint Registry ◽  
Total Hip Replacements ◽  
Hip Replacements

INTRODUCTION This paper describes, for the first time, the outcomes of patients undergoing total hip replacement for acute fractured neck of femur (#NOF) as recorded by the National Joint Registry of England and Wales (NJR). METHODS In the NJR we identified 1,302 of 157,232 Hospital Episode Statistics linked patients who had been recorded as having a total hip replacement for acute #NOF between April 2003 and November 2008. RESULTS The revision rate at five years for fully uncemented components was 4.1% (95% confidence interval [Cl]: 2.2-7.3%), for hybrid it was 2.2% (95% Cl: 0.9%-5.3%) and for fully cemented components 0.9% (95% Cl: 0.4-2.0%). Five-year revision rates were increased for those whose operations were performed via a posterior versus a lateral approach. The Kaplan-Meier estimate of 30-day mortality was 1.4% (95% Cl: 1.0-2.4%), which is over double the 30-day mortality rate for total hip replacement identified by the Office for National Statistics. The mean length of stay was also increased for those undergoing total hip replacements for #NOF compared with non-emergency indications. CONCLUSIONS Our data suggest that total hip replacements for acute #NOF give comparable results with total hip replacements for other indications.

scholarly journals Fractured Neck of Femur Management at a District General Hospital: Adherence to NICE guidelines CG124 for total hip replacement

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 46
Author(s):  
Srikanth Mudiganty ◽  
Ilias Kosmidis ◽  
John Edwin
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
National Average ◽  
National Standards ◽  
University Hospital ◽  
Neck Of Femur ◽  
Nice Guidelines ◽  
Delayed Surgery ◽  
Total Hip ◽  
Number Of Patients

Introduction: The National Institute for Health and Care Excellence (NICE) in 2011 declared standards in the management of fracture neck of femur (NOF) patients suggesting a total hip replacement (THR) if necessary criteria were met. The Best Practice Tariff (BPT) states all NOF fracture patients should be operated on within 36 h of presentation to Accident & Emergency. We conducted this retrospective study for the years 2016–2018 to evaluate the adherence to these guidelines by Basildon and Thurrock University Hospital and compared the results with national standards. Methods: Data for the period from 2016 to 2018 was collected from the National Hip Fracture Database (NHFD) retrospectively. The data was analysed to calculate various procedures performed for fracture NOF fixations, the number of THR’s for displaced intracapsular fracture NOF, and percentage of patients operated within 36 h and evaluated reasons for the delay. Results: Over the 3 years, the number of THR eligible displaced intracapsular neck of femur fracture patients that underwent THR was above the national average. Across all 3 years, the number of patients who underwent surgery within 36 h was less than the national average. Administrative/logistic reasons for the delay were the major cause for delayed surgery in all 3 years. Conclusion: Compliance with the NICE guidelines and achievement of national standards in NOF fracture care is achievable by most district general hospitals. Awareness and implementation of NICE guidelines for THRs need to be enhanced. A sustained, continual team effort and strict vigilance are necessary to prevent delayed surgery.

Large diameter femoral head uncemented total hip replacement to treat fractured neck of femur

Injury ◽  
2009 ◽  
Vol 40 (7) ◽  
pp. 752-755 ◽  
Author(s):  
A.J. Barnett ◽  
B.J. Burston ◽  
N. Atwal ◽  
G. Gillespie ◽  
A.M. Omari ◽  
...  
Keyword(s):  
Femoral Head ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Large Diameter ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Total Hip ◽  
Uncemented Total Hip Replacement

Total hip replacement for hip fracture: Surgical techniques and concepts

Injury ◽  
2016 ◽  
Vol 47 (10) ◽  
pp. 2060-2064 ◽  
Author(s):  
Ross Coomber ◽  
Matthew Porteous ◽  
Matthew J.W. Hubble ◽  
Martyn J. Parker
Keyword(s):  
Hip Fracture ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Surgical Techniques ◽  
Total Hip

scholarly journals Total hip replacement for neck of femur fracture: Comparing outcomes with matched elective cohort

Injury ◽  
2016 ◽  
Vol 47 (10) ◽  
pp. 2144-2148 ◽  
Author(s):  
J.W. Lim ◽  
G.S. Ng ◽  
R.C. Jenkins ◽  
D. Ridley ◽  
A.C. Jariwala ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Femur Fracture ◽  
Neck Of Femur ◽  
Total Hip ◽  
Neck Of Femur Fracture
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