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Is Outpatient Follow-up for Fractured Neck of Femur Necessary?

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Is Outpatient Follow-up for Fractured Neck of Femur Necessary?

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Introduction: At this centre no protocol existed with regard to outpatient follow up for patients following hospital discharge after treatment for fracture neck of femur (NOF). The aim of this study was to record the incidence of subsequent complications requiring further surgery. We also sought to clarify whether routine outpatient follow-up had a valid role in identifying these patients. Patients and Methods: We retrospectively reviewed case notes and x-rays of 200 (100 following DHS fixation and 100 following hemiarthroplasty) patients at least a year following hospital discharge after surgery for fracture neck of femur. Results: 6 (3%) of patients required further surgery. The complications affecting these patients were all identified at a time outside their originally arranged outpatient follow-up schedule. Conclusions: In our unit we no longer offer routine outpatient follow-up for patients following discharge after fracture neck of femur surgery. Upon discharge we now provide pa

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