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Are national giidelines for total hip replacement in the UK reflected in practice?

Lookup NU author(s): Dr Ajay Abraham, Professor Andrew McCaskie

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Abstract

INTRODUCTION A cross-sectional study was performed to compare the practice of total hip replacement (THR) in the UK against national guidelines. MATERIALS AND METHODS A postal questionnaire was sent to all fellows of the British Orthopaedic Association. RESULTS Of the 1587 questionnaires sent out, 966 (60.9%) were returned. Of these, 706 (73.1%) were available for data collection and analysis. CONCLUSIONS Consensus was observed in several areas including the use of pre-admission clinics and modern cementing techniques. Facilities deemed necessary for THR surgery such as HDU/ITU back-up, ultra-clean air and dedicated orthopaedic wards are almost universally available. However, a lack of consensus is evident in many areas including the process of obtaining written consent, thrombo-embolic prophylaxis, duration of antibiotic prophylaxis, supervision of trainee surgeons and follow-up arrangements. The proliferation in the range of implants, particularly aimed at 'younger' patients, available to surgeons has once again been highlighted.

Publication metadata

Author(s): Abraham A, Hajipour L, Innes AR, Phillips H, Mccaskie AW

Publication type: Article

Publication status: Published

Journal: Annals of the Royal College of Surgeons of England

Year: 2006

Volume: 88

Issue: 2

Pages: 108-115

ISSN (print): 0035-8843

ISSN (electronic): 1478-7083

Publisher: Royal Society of Medicine Press Ltd.

URL: http://dx.doi.org/10.1308/003588406X82943

DOI: 10.1308/003588406X82943

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