How many hip fractures in uk

Page last reviewed: 03 October Next review due: 03 October Symptoms of a hip fracture Symptoms of a hip fracture after a fall may include: pain not being able to lift, move or rotate turn your leg not being able to stand or put weight on your leg bruising and swelling around your hip your injured leg appearing shorter than your other leg your injured leg turning outwards A hip fracture will not necessarily cause bruising or prevent you from standing or walking.

When to seek medical help If you think you've fractured your hip, you'll need to go to hospital as soon as possible. Try not to move while you're waiting for the ambulance and make sure you keep warm.

Try to get someone's attention by: calling out for help banging on the wall or the floor using your aid call button if you have one Find out more about what to do after a fall. Hospital assessment After arriving at hospital with a suspected hip fracture, your overall condition will be assessed.

The doctor doing the assessment may: ask how you were injured and if you had a fall ask if this is the first time you've fallen if you did fall ask about any health conditions you have ask if you're taking any medicine assess how much pain you feel assess your mental state if you fell and hit your head, you may be confused take your temperature make sure you're not dehydrated Depending on the outcome of your assessment, you may be given: painkilling medicine a local anaesthetic injection near your hip intravenous fluid fluid through a needle into a vein in your arm The healthcare professionals treating you will make sure you're warm and comfortable.

To confirm whether your hip has been fractured, you may have imaging tests such as: an X-ray an MRI scan a CT scan Treating a hip fracture Surgery is usually the only treatment option for a hip fracture. The type of surgery you have will depend on several factors, including: the type of fracture where on the femur it is your age your level of mobility before the fracture the condition of the bone and joint — for example, whether or not you have arthritis Find out more about treating a hip fracture.

Recovering from hip surgery The aim after surgery is to speed up recovery to help you regain mobility. It includes information and advice on: Arranging care before you leave hospital transport and getting around with mobility issues rehabilitation or 'reablement' services choosing mobility equipment, wheelchairs and scooters Complications of hip surgery Complications can happen from surgery, including: infection — this requires further treatment and often further surgery blood clots — these can form in the deep veins of the leg, called deep vein thrombosis DVT , as a result of reduced movement.

You can reduce your risk of DVT by wearing special stockings, doing exercises and taking medicine bedsores pressure ulcers — these can happen on areas of skin under constant pressure from being in a chair or bed for long periods of time Your surgeon should discuss these and any other risks with you.

Preventing hip fractures It may be possible to prevent further hip fractures by taking steps to prevent falls and by treating osteoporosis. One in five patients are still not able to get out of bed on the day after surgery. Surgical and anaesthetic factors limiting early mobilisation should be monitored and addressed in regular clinical governance meetings involving the whole multidisciplinary team. As delirium commonly compromises patient experience and recovery, screening for delirium should be a priority in the first days after surgery.

Effective management of pain, fluids, anaemia and nutrition requires a multidisciplinary approach, and delirium rates should be monitored and addressed in regular governance meetings involving the whole team.

Most people want to return to their previous independence after a hip fracture. NICE guidance highlights the need for hip fracture programmes to be responsible for seamless care between hospital and community services if they are to deliver improved outcome and reduced costs.

Hip fracture programme teams in the acute ward must ensure close links with rehabilitation and community services, and follow up their patients. Increased numbers of hip fractures add to other pressures on hospital services in December and January, and contribute to a higher risk of mortality. Such factors must be considered when organising trauma services if services are to avoid the additional deaths which occur each winter.

Hip fracture mortality figures continue to improve, but teams need to examine each case individually to ensure that lessons are learned by the whole multidisciplinary team and that the needs of patients, and of those close to them, are anticipated at the end of life. Thank you.

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Keeping this cookie enabled helps us to improve our website. Your choices may not function as expected if you do not also enable the Essential cookies. Communications This website uses the following additional cookies for targetting communications: WebActivate used to recognise users and track integration with the website and from email campaigns. It usually results from the combination of weak bone structure osteoporosis and a fall. Around 76, hip fractures occur each year in the UK as a whole.

Although there is good evidence on best practice in surgical, medical and rehabilitation care following hip fracture, such care and its outcomes — in terms of return home and also of mortality — continues to vary. It documents case-mix, care and outcomes of hip fracture patients in England, Wales and Northern Ireland and is now, with more than , cases on record — by far the largest hip fracture audit in the world.

It was developed between and , and since it has received central funding as a national clinical audit via the Healthcare Quality Improvement Partnership HQIP.