# Day-Case Total Hip Replacement for a Neck of Femur Fracture

## TL;DR

A patient with a hip fracture successfully had a total hip replacement and was discharged within 24 hours, suggesting this approach can improve outcomes and reduce hospital stays.

## Contribution

Demonstrates the feasibility of day-case total hip replacement for neck of femur fractures with proper patient selection and pre-surgery optimization.

## Key findings

- A patient in her sixties with a hip fracture was discharged within 24 hours after total hip replacement.
- Following GIRFT guidelines and pre-surgery health optimization reduced complications and hospital stay.
- Day-case total hip replacement is viable for selected trauma patients with good baseline health.

## Abstract

Total hip replacements are now commonly used in elective settings for patients in the NHS. With the rising costs associated with hospital admissions, there is an opportunity to apply day-case arthroplasty principles to total hip replacements in trauma patients with a neck of femur fracture. This report outlines a case of a patient in her sixties who presented with a fall and an intracapsular neck of femur fracture. She was admitted as an orthopaedic patient and treated with an emergency total hip replacement, given her good functional baseline and limited co-morbidities. Her health was optimised prior to surgery, and she successfully passed the necessary checks following surgery and was discharged from the hospital within 24 hours. By selecting the correct patients, optimising their health prior to surgery and following Getting It Right First Time (GIRFT) guidelines, it is possible to reduce the risk of complications, reduce the length of hospital stay and improve patient outcomes by favouring day-case total hip replacements in patients with neck of femur fractures.