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Pelvis / Hips VFC

Hip Avulsion Fracture Pathway

A&E management

Follow-up

Pelvic fracture

A&E management

ATLS

Follow-up

Refer to Ortho on-call

Elderly pubic rami fracture

A&E management

mobilise as tolerated, investigate cause of fall, discharge planning

Follow-up

Discharge with advice

Acetabular fracture

A&E management

ATLS, then confirm acetabular fracture with pelvic CT.

Follow-up

Refer to Ortho on-call

Neck of femur fracture

A&E management

Investigate for medical causes for fall. Keep patient fasted, Bloods (FBC, U&Es G+Sx2), ECG/CXR, COVID swab

Follow-up

Refer to Ortho on-call

Dislocated Total hip replacement

A&E management

Keep patient fasted, Bloods (FBC, U&Es G+S), COVID swab

Follow-up

Refer to Ortho on-call

Femoral shaft /distal femur fracture

A&E management

Keep patient fasted, Bloods (FBC, U&Es G+S), COVID swab

Follow-up

Refer to Ortho on-call

Periprosthetic hip fracture

A&E management

Request pelvic and full femur XRs, Bloods (FBC, U&Es, G+S), COVID swab

Follow-up

Refer to Ortho on-call

Thigh injury / haematoma

A&E management

exclude compartment syndrome

Follow-up

Refer to Ortho on-call

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