Welcome to the Trauma and Orthopaedic Service.
The Orthopaedic Department provides a comprehensive range of orthopaedic services from Russells Hall Hospital in Dudley and Corbett Outpatient Centre in Stourbridge. This is provided by a dedicated team of 12 full time substantive consultants and three part time consultants providing the Paediatric Orthopaedic Service, each having an area of specialism and expertise.
All elective patients are admitted to a ‘ring fenced’ elective orthopaedic ward, minimising the need to cancel patients at the last minute due to hospital bed pressures.
We are proud of our clinical outcomes which you can read about in the attached links.
Hip and Knee joint replacement surgery
This is carried out in modern laminar flow theatres adjacent to the elective ward. The Dudley Group is one of the few NHS trusts offering computer navigation where appropriate, to assist the surgeon performing hip and knee joint replacements. Whilst this is not essential in all patients, it can help in certain cases.
We carry out approximately 400 hip and 500 knee replacements a year, making us larger than most orthopaedic departments in the NHS. Data about our outcomes for these types of surgery are collected on the National Joint Registry where we consistently perform very well. For more information about our results, click here.
The Enhanced Recovery Programme speeds up recovery and decreases the length of time patients need to spend in hospital. We provide Consultant Nurse-led classes for patients about to undergo hip and knee replacement surgery, ensuring they are given all the necessary information ahead of surgery on what to expect.
We have developed a video which provides a brief overview showing what happens prior to a patient’s admission for elective surgery.
Thanks to improvements in surgical and anaesthetic techniques over the years, it has been possible to reduce the length of stay in hospital for this type of surgery. We are progressing towards day case joint replacement surgery for suitable patients with a comprehensive recovery package available in their own home. Our first day case knee replacement occurred in October 2019.
Foot & ankle surgery
This includes a full range of forefoot, mid and hind foot surgery including, arthroscopy surgery, deformity correction, ligament & tendon surgery and joint replacement surgery.
A comprehensive hand service is offered including carpal tunnel and trigger finger. The carpal tunnel service includes an in-house Mediracer nerve conduction service with developments under way to allow direct access by GP and extended scope physiotherapists in the community.
Shoulder and upper limb surgery
Advanced shoulder and upper limb surgery including shoulder and elbow joint replacement, arthroscopic rotator cuff repair, instability surgery and arthroscopic elbow surgery. There is a pathway accessible to extended scope practitioners to directly list for frozen shoulder manipulation.
There are dedicated back pain clinics with surgery for degenerative back conditions including microdiscectomy and decompressions. There is a well-established fast track caudal epidural service for extended scope practitioners through close working relationships of the Orthopaedic Assessment Service (OAS) based at the Brierley Hill, Health & Social Care Centre.
We have facilities for detailed assessment and advanced hip, knee, shoulder, elbow and ankle reconstructive surgery including surgery for instability and osteochondral injuries.
Paediatric orthopaedic surgery
Hip dysplasia clinics and treatment of deformities in children with cerebral palsy. A number of clinics are supported by Extended Scope Practitioners working in close liaison with the Consultants. We have excellent relationships with Birmingham Children’s Hospital and our Paediatric Consultants are employed by this tertiary centre, practicing at Russells Hall on a regular basis.
We operate on trauma patients 7 days a week.
Our acute trauma service deals with the full range of fracture work accommodating any acute and urgent orthopaedic conditions. The Dudley Group is part of the Birmingham and Black Country Trauma Network and was awarded Trauma Unit status in 2012.
There are daily consultant-led trauma operating lists in a dedicated trauma theatre and Monday to Friday fracture clinics in support of emergency department patients. We are one of the only Trusts in the region to offer Virtual Fracture Clinics. Led by consultants and supported by a dedicated Trauma Coordinator, this service provides all patients and their GP with a shared care plan which details diagnosis and fracture management. This standardises treatment for all patients and reduces unnecessary attendances for patients to be seen face-to-face in the fracture clinic.
Quality and outcomes
Our waiting times have consistently met and exceeded the government target of 92% of patients being treated within 18 weeks of referral. We are among the best performing Trusts not only regionally, but nationally for our Referral to Treatment (RTT) performance. For up-to-date information about our waiting times, click here.
‘Getting It Right First Time’ is a programme delivered in partnership with the Royal National Orthopaedic Hospital NHS Trust and NHS Improvement. The programme is designed to improve the quality of care within the NHS by reducing unwarranted variations. In 2016, the Trust was commended for being better than the mean for our return to theatre for infection or surgical complication within 30 days of discharge from their original procedure. The visiting team found that we were significantly better than other Trusts in the country reporting 4.75% for primary hip compared to the national mean of 8.74%. Patients that had a primary knee replacement or hip arthroplasty or open reduction of femur following admissions for fractured neck of femur, also have lower readmission rates for surgical or infection complication compared to other Trusts.
The National Joint Registry shows that our revision rates for both hip and knee replacement surgery are below the national average. This means that the likelihood of failure of joint replacement surgery is lower than the national average. Patient reported improvement measures (Oxford Hip score and Oxford Knee score) are both above the national average. For more information about our outcomes visit https://surgeonprofile.njrcentre.org.uk/HospitalProfile?hospitalName=Russells%20Hall%20Hospital
We perform a high proportion of our elective procedures as day case surgery. Our performance is in the top quartile of NHS Trusts nationally. This helps to enhance patient experience as well as making best use of our bed capacity and reducing waiting times.
The National Hip Fracture Database is a national audit of patients who are treated in hospital following a fall and sustaining a fracture of the femur. The dashboard for Russells Hall Hospital shows that were in the top quartile performance nationally for meeting the best practice criteria, for assessment and for surgery supervised by a Consultant surgeon and anaesthetist. Our rate of follow up at 120 days was also better than other hospitals nationally. For more information about the National Hip Fracture Database and to view our dashboard click here.
Family and Friends
We regularly collect feedback from our patients using the Family and Friends Test. For 2018/19, 91.8% of our patients treated on our wards said that they would recommend us to others based on responses given by 56% of all inpatients.