Fixation of Ankle Fractures: Experiences in Improving Quality

Foot & Ankle Orthopaedics

AndrewMolloy¹ 

关键词: Ankle Fracture Reduction Complication Education Improvement;   

DOI  :  10.1177/2473011418S00088

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:TraumaIntroduction/Purpose:Ankle fractures are one of the most common fractures. Historically these have been frequently treated by non-specialists and junior staff. In 2011 we presented high malunion rates, which have been mirrored in other departments work.We present the results of system changes to improve the results of ankle fracture fixationMethods:Image intensifier films were reviewed on PACS and scored based on the criteria published by Pettrone et al. At least two blinded assessors assigned scores independently. Patients clinical data was collected from medical records. In 2011 we presented the results of fixation in 94 consecutive patients (Group 1) from 2009. Following this there was period of education in the department to allow change. 68 patients (Group 2) were then reviewed from a 7 month period in 2014Multiple system changes were introduced in the department including; new treatment algorithms, dedicated foot and ankle trauma lists and clinics, and next day review of all intra-ope...

【 授权许可】

CC BY