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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

Contact Us

Trauma Coordinator: ext 35831 

Oncall Registrar: bleep 5599

Oncall SHO: bleep 5500

Plaster Room: ext 35443

Ward 30: ext 35412, 35868

Ward 31: ext 35626, 35355

Ward 30 doctor - bleep 5501 (8am-5pm)

Ward 31 doctor - bleep 5502 (8am-5pm)

T&O outlier doctor - bleep 5503 (8am-5pm)

Post-take doctor - bleep 5503 (8am-5pm)

Twilight doctor - bleep 5503 (2.45-10:45pm)

Orthogeriatric team - bleep 1458 (not for referrals)

Oncall email: mtw-tr.ortho-oncall@nhs.net

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