Audit changes practice; simple education intervention can lead to better outcome for ankle fractures undergoing surgery:

Foot & Ankle Orthopaedics

AminKheiran¹ 

关键词: Audit;    ankle fracture fixation;    radiological parameters;    anatomical reduction;   

DOI  :  10.1177/2473011417S000239

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle, TraumaIntroduction/Purpose:Unstable ankle fractures are common orthopaedic injuries and majority requires open reduction and internal fixation (ORIF). The goal of surgery is to achieve anatomical reduction and stable fixation of fracture. Recent literature reports malreduction rate as high as 25% to 33%. There is emerging evidence that malreduction leads to poor patient reported outcome (PROMs) and may render additional surgery. The aim of this study was to evaluate the quality of anatomical reduction and surgical fixation of ankle fractures and the effect of a simple education intervention on the adequacy of reduction of these fractures.Methods:An audit cycle was completed starting with retrospective review (phase 1) of 114 consecutive cases of ankle fracture that underwent ORIF between October 2006 and December 2007. Data was retrieved from theatre log and PACS. Age, fracture morphology, time to surgery, time to revision surgery and the quality of anatomical reduction were assessed by th...

【 授权许可】

CC BY