Aims and objectives
The National Joint Registery has reported that in England and Wales the number of total hip and knee replacement procedures performed each year is approximately 160,000.
Approximately the same number of hip and knee joints are replaced.
Templating balls are routinely used in pre-operative planning of total hip arthoplasty to help select appropriately sized implants.
All patients presenting to A&E with a suspected Neck of femur fracture should have a trauma pelvis/hip x-ray:
AP to include the whole of the pelvic girdle
Horizontal beam lateral...
Methods and materials
50 x-rays of pre-operative patients with neck of femur fractures (NOF) were identified using PACS
X-rays were reviewed
Polytrauma (CT) and other hospital sites (Friarige Hospital) were excluded
The perioud audited was from 20/03/18 to 01/07/18
The total number of patients who had templating balls were 32
18 patients had no templating balls in neck of femur fracture x-rays
Hospital standard was met in 48% of plain films reviewed
Comparing findings to previous audits in the department,
x-rays had templating balls,
but 52% had them in the wrong position
After discussing the findings with radiographers,
it was noted that in many times some found positioning the templating ball correctly was difficult due topatients being in severe pain at the time they came around for imaging.
There was an obvious backlog in meeting hospital standards in the weekends and out of hours imaging.
This was concluded tobe due to short staffing at these times.
The Action plan included a case based discussion in theX-ray department and A&E stressing the importance of templating balls and correct...
Ala M E Elwasila,
James Cook University Hospital,
Department of Orthopaedics and Trauma,
52 north cottages,
1) National joint registry (NJR),
Joint replacement statistics
2) James Cook University Hospital Standards