I hate the term too, as I don't for a moment subscribe to the simplistic mechanism usually offered, but we seem to be
suffering from a cluster at present even with isolated femoral #, which do not often suffer. I have been trying to analyse
our practice in A&E which has not changed appreciably over the last couple of months, but one of the things that has
happened is that the orthopaedic team are not operating on these patients immediately any more, but often delaying
surgery 24 or 36 hours, leaving the patient in the Sagar or Donway splint. The surgery then gets further delayed as the
patient is then unfit for surgery. I can't find any evidence that delay is harmful, but I am aware that early operation can be
associated with the FES. Anyone else seeing this or is it just a statistical quirk?
Best wishes,
Rowley Cottingham
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