Deviation in the Standard of Orthopedic Care During Hip Surgery (Hip Fracture or Replacement)

Evaluate breaches in the standard of care by using these questions and answers to help determine if there has been a Deviation in the Standard of Orthopedic Care During Hip Surgery (Hip Fracture or Replacement)

Answer the following questions to find out if the standard of care was followed for your case.

  • What type of hip surgery did the patient undergo?
    Hip replacement surgery
    Hip fracture management
    Hip arthroscopy
    Why is this important?
    Hip joint replacement surgery has been the most common type of elective and semi-elective orthopedic operation for nearly 25 years.
    (2005) 40 ESROEN 3 320-332

  • Was the surgery appropriate for the patient? Why is this important?
    Answer this question
    
Well-established indications of hip arthroscopies must include debridement of loose bodies and treatment of labral tears.

    (2010) 20 EOPTOR 4 212-216 



  • Was a pre-operative evaluation performed on the patient? Why is this important?
    Answer this question
    
Pre-surgical and pre-anesthetic evaluation must be performed on all patients undergoing surgery.

    (2012) 13 EAICMD 3 77-80 



  • Did the clinician address the patient’s co-morbidities? Why is this important?
    Answer this question
    
Hip surgery is a major surgical procedure and the patient’s co-morbidities must be addressed prior to surgery.

    (2005) 16 SAPLST 2 88-99 



  • Were pre-operative prophylactic antibiotics administered? Why is this important?
    Answer this question
    
Administration of prophylactic antibiotics has been shown to decrease the risk of peri-operative infections.

    (2008) 22 EBPRCA 3 571-584 



  • Was the patient was positioned appropriately throughout the surgery? Why is this important?
    Answer this question
    
Patient positioning is an important factor to be considered in procedures such as arthroscopy.

    (2010) 20 EOPTOR 4 212-216 



  • Were the intra-operative complications managed immediately? Why is this important?
    Answer this question
    
Any intra-operative complication must be handled immediately.

    (2010) 20 EOPTOR 4 264-277 



  • Were prophylactic anti-coagulants administered? Why is this important?
    Answer this question
    
Surgeries of the hip are high risk surgeries for the development of thromboembolism. Therefore, prophylactic agents must be administered in preparation for the procedure.

    (2011) 19 EOTSMD 2 108-113 



  • Was the patient monitored for the signs of infection post-operatively? Why is this important?
    Answer this question
    
Patients must be evaluated for early signs of infection.

    (2010) 5 EPERNC 3 355-371 



  • Were pain medications administered? Why is this important?
    Answer this question
    
Pain is one of the most common reasons that patients limit themselves from mobility and rehabilitation. Adequate pain relief must be achieved by appropriate medications.

    (2008) 24 ECLGMD 4 701-719 



  • Were the patient’s co-morbidities medically managed post-operatively? Why is this important?
    Answer this question
    
It is essential to identify patients at risk for medical complications early so that strategies to prevent their occurrence can be implemented.

    (2005) 16 SAPLST 2 88-99 



  • Was the patient provided with adequate discharge instructions? Why is this important?
    Answer this question
    
All patients undergoing hip surgery require extensive education about lifestyle modification, weight bearing instructions and the follow up rehabilitation necessary.

    (2009) 23 ECORTH 1 17-26 



  • Did the patient undergo rehabilitation? Why is this important?
    Answer this question
    
Rehabilitation services must be advised to all patients undergoing hip surgery.

    (2005) 82 EAORNJ 6 975-976,978-984,986-992,994,996-998 



  • Did the clinician recommend follow-up visits? Why is this important?
    Answer this question
    
Follow-up must be advised to all patients undergoing hip surgery. Also, radiographic examination must be performed on all patients undergoing hip surgery to ensure proper bone integration and healing.

    (2008) 24 ECLGMD 4 701-719 



  • Did the clinician perform pre-operative imaging of the fractured site? Why is this important?
    Answer this question
    
A radiographic assessment of the fractured site must be performed to assess the extent of fracture, the anatomic structures involved and also to plan for the appropriate surgery.

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  • Was a pre-operative evaluation performed? Why is this important?
    Answer this question
    
Pre-surgical and pre-anesthetic evaluation must be performed on all patients undergoing surgery.

    (2012) 13 EAICMD 3 77-80 



  • Did the clinician address the patient’s co-morbidities? Why is this important?
    Answer this question
    
Since hip surgeries are considered as major surgical procedures, the patient’s medical condition must be assessed and normalized before the initiation of surgery. The patient must be advised to discontinue medications such as NSAIDS and medications such as glucocorticoids must be tapered down before surgery. There are other medications that need to be modified for a better success rate.

    (2004) 18 ECORTH 5 379-395 



  • Were pre-operative prophylactic antibiotics administered? Why is this important?
    Answer this question
    
Administration of prophylactic antibiotics has been shown to decrease the risk of perioperative infections.

    (2008) 22 EBPRCA 3 571-584 



  • Was the patient positioned appropriately throughout the surgery? Why is this important?
    Answer this question
    
Patient positioning is an important factor to be considered in long procedures such as orthopedic surgeries, because improper positioning can lead to nerve damage.

    (2009) 23 ECORTH 1 35-39