Fractured Neck of Femur Pathway Mr Naveed Shaikh Consultant Trauma & Orthopaedic Surgeon 23/11/2015
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Fractured Neck of Femur
Pathway
Mr Naveed Shaikh
Consultant Trauma & Orthopaedic Surgeon
23/11/2015
Fracture of the hip
Average age 85 (fragility
fracture)
70000/year
Operation depends on
type of fracture
DHS
The Problem:
Patients have other
comorbities.
Extended bed days and
social care
Incidence increasing
• Prevention
- Falls clinics (community based)
- Treatment of osteoporosis
• Optimal management
- Follow NICE guidelines
- BPT compliance
- Audit (national hip fracture database)
Management overview
• Hip fracture
• Assess patient
• Analgesia
• Information and support
• Surgery
• MDT rehabilitation
• Assess future fracture risk
NICE
• MRI for occult hip fracture
• Perform surgery same or following day
• Analgesia
• Anaesthesia
• Planned trauma list with appropriate operation
• Post-op mobilisation day after surgery
• Orthogeriatric input
• Integrated care pathway
• Early supported discharge
Best practice tarrif
Audit results
Summary
• Incidence of fractured neck of femurs increasing
• Require a MDT approach
• Follow the NICE guidance
• Adhere to BPT criteria
• Audit
Thankyou
Mr Naveed Shaikh
Consultant trauma and orthopaedic surgeon
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