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Extracapsular fracture

Quality statement

People with trochanteric fractures above and including the lesser trochanter (AO classification types A1 and A2) receive extramedullary implants such as a sliding hip screw in preference to an intramedullary nail.

Quality measure

Structure

Evidence of local arrangements to ensure people with fractures above and including the lesser trochanter (AO classification types A1 and A2) receive extramedullary implants such as a sliding hip screw in preference to an intramedullary nail

Process

Proportion of people with trochanteric fractures above and including the lesser trochanter (AO classification types A1 and A2) who receive extramedullary implants such as a sliding hip screw.

Numerator: the number of people in the denominator who receive extramedullary implants such as a sliding hip screw.

Denominator: the number of people with trochanteric fractures above and including the lesser trochanter (AO classification types A1 and A2).

Description of what the quality statement means for each audience

Service providers ensure systems are in place for people with trochanteric fractures above and including the lesser trochanter (AO classification types A1 and A2) to receive extramedullary implants such as a sliding hip screw in preference to an intramedullary nail.

Healthcare professionals use extramedullary implants such as a sliding hip screw in preference to an intramedullary nail in people with trochanteric fractures above and including the lesser trochanter (AO classification types A1 and A2).

Commissioners ensure they commission services for people with trochanteric fractures above and including the lesser trochanter (AO classification types A1 and A2) that use extramedullary implants such as a sliding hip screw in preference to an intramedullary nail.

People with a hip fracture that is outside (rather than within) the hip joint receive an implant, consisting of a screw mounted on a plate, to hold the broken part of the thigh bone in place while it is healing.

Source clinical guideline references

NICE clinical guideline 124recommendation 1.6.7 (key priority for implementation).

Data source

Structure

Local data collection.

Process

Local data collection. The National Hip Fracture Database records procedure type for intertrochanteric fracture. Contained within NICE audit support for hip fracture (NICE clinical guideline 124): surgical procedures, criterion 7.

This page was last updated: 28 March 2012

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.