Do check X-rays influence the management of patients who have undergone hip fracture fixation using image intensifier guidance?

Injury
A D Cooney, A C Campbell

Abstract

To determine if postoperative check X-rays influence the management of patients who have undergone hip fracture fixation using image intensifier guidance and the possible economic impact. A fractured neck of femur is the commonest fracture sustained in the UK amongst the elderly population, with internal fixation commonly carried out under image intensifier guidance, producing high quality intraoperative images. In the postoperative period, patients often receive a subsequent check X-ray, although recent evidence has suggested little additional information is gained. We examined the X-rays of 100 patients who underwent internal fixation (using image intensifier guidance) for a fractured neck of femur. Twenty-four patients received a postoperative check X-ray, although none of these patients had their management altered by this subsequent X-ray. If these check X-rays are avoided, there is a potential saving of over 2000 sterling pound in our hospital and 38,800 sterling pound in Scotland per annum.

References

Oct 16, 2001·Archives of Orthopaedic and Trauma Surgery·C M ChenW H Lo

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Citations

Apr 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M WesterterpA A W van Geloven
Jun 11, 2016·Journal of Shoulder and Elbow Surgery·Kyle R BurtonNeal C Chen
Feb 12, 2017·Journal of Medical Radiation Sciences·Jason Vom, Imelda Williams
Apr 26, 2017·Journal of Pediatric Orthopedics·Vytas P KaraliusTodd A Milbrandt
May 23, 2015·Foot & Ankle International·Sara Lyn Miniaci-CoxheadJohn P Ketz
Aug 23, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Kevin PhelpsMichael Bosse
Oct 5, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Daniela Sanchez MoralesDaniel Scott Horwitz
Jul 4, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Blake J SchultzMichael J Gardner
Apr 22, 2017·Journal of Orthopaedic Trauma·Lucas S MarchandDavid L Rothberg
Jun 23, 2012·Journal of Perioperative Practice·O K IdowuP S Pidikiti
Jan 25, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Blake J SchultzMichael J Gardner
Jan 23, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Lucy Clare MalingRory George Middleton
May 3, 2013·The Journal of Bone and Joint Surgery. American Volume·Timothy N GhattasTeresa L Jones
Nov 25, 2021·International Journal of Clinical Practice·Mélanie BérubéJérôme Paquet

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