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In November 2013, the MTG published a report into waiting times for knee and hip replacements on the National Health Service. The report, Hip and Knee Surgery: Combating Patient Lotteries, reviewed ten years of government data on knee and hip replacement, and data from freedom of information requests to acute NHS hospital trusts in England. [37]
Senior NHS sources in the area also admitted being forced to consider rationing knee arthroscopy operations, cataract removals and tonsillectomies, introducing “lifestyle rationing” so that obese patients and smokers must lose weight and stop smoking before they can have, for example, a knee replacement treating their arthritis (this is ...
Bishop Auckland Hospital is a small NHS district general hospital serving the western part of County Durham, with a primarily rural catchment area centred on the Wear Valley. The hospital is managed by the County Durham and Darlington NHS Foundation Trust.
It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time, it had 1310 full-time equivalent staff and a sickness absence rate of 2.88%. 87% of staff recommend it as a place for treatment and 71% recommended it as a place to work.
The Trust carries out about 10,000 procedures a year and in 2000-12 recorded 33 deaths after elective orthopaedic procedures. They found there was a lower mortality risk on Friday and on Saturday; at 0.008 percent for Friday and 0.014 percent on Saturday, with an average mortality rate for the trust at 0.023 percent.
Similarly, total knee replacement can be performed to correct mild valgus or varus deformity. Serious valgus or varus deformity should be corrected by osteotomy. Physical therapy has been shown to improve function, and may delay or prevent the need for knee replacement. Pain often is noted when performing physical activities requiring a wide ...
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