Post-Operative Radiographic Confirmation of Hip Arthroplasty
Background
Why this project was needed
Post-operative radiographic check X-rays following hip arthroplasty are recommended by national guidelines and best practice documents including the BOA/BHS guidance. Timely review of these films by a senior clinician ensures implant positioning is confirmed and early complications are identified. Audit of this process at St Thomas' had identified delays in X-ray ordering and review, with some films not being reviewed at the trauma meeting as intended.
Aims
What the project set out to achieve
To review compliance with post-operative radiographic protocols following traumatic neck of femur arthroplasty at St Thomas' Hospital and to reduce time-to-check-X-ray to within 1 day post-operatively.
Objectives
Specific measurable steps
- Identify all patients undergoing total hip replacement or hemiarthroplasty for NOF fracture between May and August 2023.
- Document timing of AP and lateral X-ray ordering post-operatively.
- Record whether X-rays were reviewed by SpR, consultant or at the trauma meeting.
- Benchmark findings against BOA/BHS best practice guidelines and implement changes to reduce delays.
Discussion
Community experience and questions
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