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Post-hemiarthroplasty radiograph check
EP34300
Poster Title: Post-hemiarthroplasty radiograph check
Submitted on 30 Oct 2020
Author(s): Zakariya Abdulazeez
Affiliations: NHS
This poster was presented at BIR2020
Poster Views: 494
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Poster Information
Abstract: Background
Hip arthroplasty has been described as one of the most successful orthopaedic procedures, allowing early weight bearing and mobilisation. Hemiarthroplasty involves replacement of the femur portion of the hip joint.The operative room radiographs are unsuitable as a baseline follow-up evaluation method. The initial postoperative radiograph provides information on the components, initial positioning, and as a reference to radiographs taken later in life. In our department; it is routine practice for all patients to have post-hemiarthroplasty radiograph checked. Concerns from delays to initial radiographs’ checking after hemiarthroplasty in trauma patients, was observed as poor compliance with local guidelines.

Objectives
To assess the current waiting times for post hip hemiarthroplasty radiographs check, against local standards at the Department of Trauma and Orthopaedics at Medway Maritime Hospital, Kent.

Patients and Methods
Retrospective data collection study of 145 patients who underwent hip surgery in 2018. Eighty seven patients with hemiarthroplasty were included, whilst 58 patients who had other procedures were excluded. Date of surgery confirmed from operative notes and the radiograph request forms were also checked from the radiology internal system. Date of radiographs check confirmed on Hospital online imaging system.

Results
All patients had radiographs’ checked postoperatively, with fewer than 50% within 48 hours of surgery. All patients had radiographs requested within 5 days postoperatively, with 45% request forms completed on the same day of surgery. Post-operative medical health issues contributed to 10% of the delays in performing radiographs. The Radiology Department completed up to 90% of radiographs within 2 days of receiving the request forms.

Conclusion
Late completion of postoperative radiograph request forms leads to delay in radiograph checking, and consequently it does affect postoperative safe recovery of patients and prolong their hospitalisation. Improvements in the Radiology Department’s protocol are suggested; also encourage surgeons to fill out the radiograph request form along with the operative note.
Summary: Quality improvement project to assess the waiting times for post hip hemiarthroplasty radiographs check, against local standards at the Department of Trauma and Orthopaedics at Medway Maritime Hospital, Kent.
References: Chakravarthy J, Mangat K, Qureshi A, Porter K. Postoperative radiographs following hip fracture surgery. Do they influence patient management? International Journal of clinical practice March 2007; 61 (3): 421-424
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