Torbay Hip Score Demonstrates the Deterioration of Surgical Complexity of Performing Total Hip Replacement in Patients waiting for Elective Surgery

Description

In this presentation, Chi Kit Chuen, a registrar from Torbay, discusses the Torbay Hip Score, a novel scoring system designed to objectively assess the surgical capacity for total hip replacement surgeries, particularly in the context of prolonged patient wait times exacerbated by the COVID-19 pandemic. Chi emphasizes the need for a standardized method to quantify the deterioration of hip conditions over time, given the lack of current objective scoring systems.



The Torbay Hip Score categorizes patients' hip conditions into a 'traffic light' system: Green for simple cases, Amber for intermediate, and Red for complex primary replacements. The scoring is based on routine X-ray evaluations and patient case notes across five steps, including assessments of the acetabulum, femoral neck, shaft, and other local and general factors that may affect surgical capacity.



The study aims to analyze changes in surgical capacity over time through a retrospective review of 101 patients awaiting surgery for more than 52 weeks. Findings reveal a 10.9% overall deterioration in surgical capacity, with a notable increase in patients classified as Amber or Red upon reevaluation. The presentation showcases how the Torbay Hip Score could assist in prioritizing complex cases and optimizing surgical planning, enhancing surgical outcomes for patients with deteriorating hip conditions. Chi concludes with an invitation for questions, signaling an openness to discussions about the implications and applications of their findings.

DOI: 10.1302/3114-230341

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