We have looked at a single surgeons results for hip abductor repair in a population of patients and assessed them pre and post operatively.

We collected data over a 2 year period and each patient underwent a telephone consultation and were scored both pre operatively and post operatively using the non-arthritic hip score (NAHS) and UCLA activity score (UCLA).

A total of 15 patients were included in the study over a 2 year period. 93% underwent some form of investigation prior to surgery. Intra-operatively all patients were found to have pathological abductors. 9 patients were found to have partial avulsions of the abductors and the other 6 had under surface tears or detachments. The mean preoperative NAHS was 35.7/80 and >3/12 post operatively was 68.8/80 (p value <0.001). The mean preoperative UCLA score was 3.1/10 and >3/12 post operatively was 6.6/10 (p value <0.001).

There is a statistically significant improvement in the NAHS of these patients as early as 3/12 and therefore early exploration is advised by the team. Surgical exploration is advised if the patient remains symptomatic despite having negative imaging results as this condition continues to go untreated despite the patients having a significant improvement post operatively.

An enhanced recovery programme for knee arthroplasty was introduced two years ago to our orthopaedic department. It involved the setting up of an educational programme for patients along with an extensive rehabilitation programme. The main aim of the programme is to provide an efficient and personalised service that results in an improved patient experience and fewer bed days following surgery.

We carried out a retrospective study, randomly selecting 100 patients over a period of a year who were enrolled in the enhanced recovery programme. We analysed three main areas involving the pre-, peri- and post-operative period. We looked for any key factors that led to an increase or decrease in bed days. The re-admissions were analysed and the cost benefit was calculated.

99 patients were randomly selected and satisfied the inclusion criteria. We found that with the enhanced recovery programme the average length of stay for a knee arthroplasty was four days. There were no re-admissions within the population.

We would like to share our enhanced recovery programme model as we feel it is a robust and effective way of providing a high level of care and decreasing the length of stay post-operatively.