Best Practice Library – Orthopaedics

Key overarching resources

The resources below are relevant across most or all of the areas and metrics listed on this page.

Sentinel top decile metrics

Metric/recommendationPerformance measure (top decile or national standard)
Productivity
equivalent to 4 total hip or knee joint replacements in all-day list (8 hours)
4
Percentage of cemented or hybrid hip replacements for patients aged 70+99.5%
Average length of stay for elective primary hip replacements3.00
Emergency readmission following primary hip replacement within 30 days3.2%
Average length of stay for elective knee replacements3.0
Emergency readmission following knee replacement within 30 days3.7%
Percentage of FNOF patients meeting best practice criteria90%
Surgical site infection rate following surgery for FNOF<3%
Surgical site infection rate for elective primary arthroplasty<1%
Orthopaedic surgery – day case rates (all procedures excluding total joint replacements)93%
Orthopaedic surgery – Conversion from daycase to inpatient stay1.5%
On the day cancellation rate for elective orthopaedics for non-clinical reasons (benchmark)0.8%

Fractured neck of femur (FNOF)

Spinal services (now in its own Best Practice Library page)