Florian Oehme1, Björn Christian Link1, Herman Frima2, Tim Schepers3, Steven J Rhemrev4, Reto Babst1, Frank J P Beeres5. 1. Department of Orthopedic and Trauma Surgery, Cantonal Hospital Lucerne, P.O. Box 6000, Spitalstrasse 16, 6000, Lucerne, Switzerland. 2. Department of Surgery, Cantonal Hospital Graubünden, P.O.Box 170, Loëstrasse 170, 7000, Chur, Switzerland. 3. Department of Surgery-Traumatology, Amsterdam Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. 4. Department of Surgery, Medical Center Haaglanden, Lijnbaan 32, 2512 VA, The Hague, The Netherlands. 5. Department of Orthopedic and Trauma Surgery, Cantonal Hospital Lucerne, P.O. Box 6000, Spitalstrasse 16, 6000, Lucerne, Switzerland. frank.Beeres@luks.ch.
Abstract
PURPOSE: The purpose of this study was to evaluate the frequency of changes in treatment plan due to standardized postoperative radiographs. A secondary aim was to compare our results with a national benchmark. METHODS: This is a single-center retrospective case series of 167 consecutive patients, operated with open reduction and internal fixation (ORIF) for distal radius or ankle fractures in 2014. Changes in the treatment protocol were defined as additional CT-imaging, reoperation or other changes as stated in the postoperative instructions. In addition, a national survey was conducted assessing differences between surgeons in different hospitals concerning revision rates. RESULTS: In 7.2% (12/167) of the patients, a change in the treatment plan was recorded after the standardized postoperative radiographs. 10 patients (6%) were reoperated (three without additional imaging, seven after additional imaging with CT). The results from our survey showed a good assessment concerning the quality of intraoperative imaging (7.85 on a scale from 0 to 10). Concerning the revision rate, there was a trend to lower revision rate of 8.1% in the six observers. CONCLUSIONS: Standard postoperative radiographs could improve quality of care. Intraoperative standardized radiographic documentation is needed and the perception and acceptance of quality may vary between hospitals.
PURPOSE: The purpose of this study was to evaluate the frequency of changes in treatment plan due to standardized postoperative radiographs. A secondary aim was to compare our results with a national benchmark. METHODS: This is a single-center retrospective case series of 167 consecutive patients, operated with open reduction and internal fixation (ORIF) for distal radius or ankle fractures in 2014. Changes in the treatment protocol were defined as additional CT-imaging, reoperation or other changes as stated in the postoperative instructions. In addition, a national survey was conducted assessing differences between surgeons in different hospitals concerning revision rates. RESULTS: In 7.2% (12/167) of the patients, a change in the treatment plan was recorded after the standardized postoperative radiographs. 10 patients (6%) were reoperated (three without additional imaging, seven after additional imaging with CT). The results from our survey showed a good assessment concerning the quality of intraoperative imaging (7.85 on a scale from 0 to 10). Concerning the revision rate, there was a trend to lower revision rate of 8.1% in the six observers. CONCLUSIONS: Standard postoperative radiographs could improve quality of care. Intraoperative standardized radiographic documentation is needed and the perception and acceptance of quality may vary between hospitals.
Entities:
Keywords:
Ankle fracture; Postoperative radiograph; Radius fracture; Treatment plan change
Authors: Thomas R Blattert; Ute A Fill; Elmar Kunz; Werner Panzer; Arnulf Weckbach; Dieter F Regulla Journal: Arch Orthop Trauma Surg Date: 2004-09-10 Impact factor: 3.067
Authors: Florian Oehme; Valerie Kremo; Nicole van Veelen; Julia Mühlhäusser; Jonas Brunner; Jesse Peek; Bryan J M van de Wall; Björn-Christian Link; Matthias Knobe; Reto Babst; Frank J P Beeres Journal: Dtsch Arztebl Int Date: 2022-04-22 Impact factor: 8.251