OPERATION NOTE:

Cemented Left Right Hip Hemi-arthroplasty

Date of operation:

Patient name:      

Hospital number:

Date of Birth:      

Consultant   

Surgeon:                                   Supervision:    Independent/Unscrubbed/Scrubbed
Grade:           FY2/CT1/CT2 StR/SpR Fellow Consultant

Assistant:     
Grade:            FY2/CT1/CT2 StR/SpR Fellow Consultant

Anaesthetist:
Grade:            FY2/CT1/CT2 StR/SpR Fellow Consultant

Indication:   Intracapsular hip fracture

Background:    Patient consented, understanding the risks of  bleeding, infection, nerve damage, venous thromboembolism, fracture, dislocation, leg length discrepancy, wear, need for further surgery, complex regional pain syndrome and anaesthetic.

Setup:              WHO safety checklist performed .Prepped with Betadine Chlorhexidine and draped

Anaesthetic:     Block        GA      Spinal

Antibiotics:       At induction mg_ Cefuroxime Co-Amoxiclav Clindamycin Vancomycin

Position:            Supine with pillow under ipsilateral buttock Lateral

Approach:         Hardinge AnteroLateral Posterior

                Careful dissection down to neck of femur

Findings:           Intracapsular hip fracture with haematoma

Procedure:          Femoral neck cut

Head removed with corkscrew and measured

Box chisel, pin reamers & sequential broaching

Trialled

Stem cemented: with head

Washout.

Haemostasis.

Stable reduction confirmed with full range of motion.

Closure:                Capsule              

TFL Short External Rotators   Vicryl Ethibond

Deep dermal vicryl 2-0 and Monocryl nylon 3-0 staples for skin.

LA infiltrated at wound:

Dressing:

Post-op:               Routine obs. VTE prophylaxis.

FWB.

Routine post-op bloods & XRays

Home when safe .

Follow-up with GP in two weeks for wound review       and removal of clips / sutures.

 

Signed: ______________________

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