Reducing pressure ulcers in hip fracture patients
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Updated: May 30, 2026

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
1Royal Liverpool and Broadgreen University Hospital Trust, UK.
Abstract:
This article describes how a collaborative project within an NHS hospital reduced the incidence of pressure ulcers in hip fracture patients by 79.8%, thus improving outcomes of care and patient experience. The impetus for the project came from the negative effects on functional recovery that pressure ulcers can cause, a prevalence of 9.3% in the existing patient group, and the trust's commitment to reduce pressure ulcers for all patients by 50%, as per local quality indicators. Using a multiprofessional collaborative team approach, issues with current practice and how improvements could be made were identified. Following this, a best practice guideline and educational session based on national guidelines, but tailored to the local and holistic needs of hip fracture patients, was developed. The author proposes that the tailoring of an intervention to the specific needs of high risk patient groups is transferable to any area of practice where pressure ulcers are prevalent.
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Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...