Martin Davison

History of the Scotish fracture audit

Great to be at #FFN2023 hearing updates from around the @FF_Network. Strong representation from the Scottish Hip Fracture Audit with @A_MacLullich, @rosespenfold, @kirstymward, @chilli615 and @MartinDavi82. Look forwards to catching up with familiar faces and meeting new ones!

@BritishHip I think this looks fantastic. Even for use in Scotland where these measures aren’t tied to tariffs like England. I’m surprised that BMI does not feature. It has a huge effect on complexity and 50+ BMI often need revision, despite not being considered for a standard primary.

Free to use for all. Step by step description of any revision case leads to classification by RHCC Paprosky and Unified as relevant. And report output to the user. Designed to use on mobile device please take a look. Useful for all #RevisionHip consultants through to trainees

And now the official launch of our #RHCC App This web based app facilitates classification of revision hip replacement surgery, using the RHCC Revision Hip Complexity Classification developed by @BritishHip via consensus led by @tim_n_board Find it here rhcc.britishhipsociety.com

@docfarrow IT’s interesting Luke, and a bit of a u-turn on implant choice recommendation, based on the evidence. With the costing issue also highlighted in the updated guidelines, it would almost favour a return to Thomsons for smaller units that don’t get an incentivised deals on stems.

TWO subtle but ❗️updates to 2023 NICE hip# guidelines for all T&O colleagues: 👉 THR vs Hemi: THR patients now expected to carry out ADL’s independently >2 years 👉 No longer requirement for ODEP rated implants, instead focus on single Hemi design use Thoughts? #orthotwitter