Faraz Ahmad, Al-Ashqar Mohammad, Khan Shoaib, Zaman Qamar, Smyth Joshua, Parker James, Bhuskute Nikhil
General Surgery, Ulster Hospital, Dundonald, GBR.
Trauma and Orthopaedics, Yorkshire and Humber Deanery, Leeds, GBR.
Cureus. 2022 Jul 9;14(7):e26697. doi: 10.7759/cureus.26697. eCollection 2022 Jul.
Introduction Adequacy of postoperative hip and knee radiographs has a direct impact on its interpretation. We undertook a quality improvement project by creating local standards to meet the arthroplasty team expectations for a satisfactory radiograph. The purposes of the study are 1. Assessment of the adequacy of radiographs according to defined criteria, and 2. Correlation of system and patient factors with inadequate radiographs. Methods Stage I: We conducted a single centre, retrospective audit to check the adequacy of a postoperative radiography following a total hip or knee replacement. A total of 100 radiographs were assessed against the nine criteria laid out with the consensus of orthopaedic surgeons and radiologists. Stage II: We created a quality improvement proforma for use in the radiology department. We re-assessed 100 radiographs during the second cycle against the nine criteria to check the adequacy of hip and knee arthroplasty radiographs, Results Stage I: Of 100 radiographs, 51 were from the knee and 49 from the hip arthroplasty group. Sixty-nine radiographs were adequate considering overall criteria, and 31 radiographs were inadequate. The inadequacy in radiographs was related to the visibility of prosthesis, cement or relevant anatomy. Stage II: We created a quality improvement performa for use in radiology department, highlighting the nine initial criteria. One hundred radiographs of hip and knee arthroplasty were re-assessed. Overall, 84 radiographs fulfilled the criteria of being adequate. Conclusion Adequacy of knee and hip arthroplasty radiographs is essential in picking up pathologies that can be missed otherwise. We present simple criteria to improve the adequacy of x-ray and prevent repetition of radiographs.
引言
术后髋部和膝部X线片的质量对其解读有直接影响。我们开展了一项质量改进项目，制定本地标准以满足关节置换团队对满意X线片的期望。本研究的目的是：1. 根据既定标准评估X线片的质量；2. 分析系统因素和患者因素与质量欠佳的X线片之间的相关性。
方法
我们进行了一项单中心回顾性审核，以检查全髋关节或全膝关节置换术后X线片的质量。根据骨科医生和放射科医生共同制定的九条标准，对总共100张X线片进行了评估。
我们创建了一份用于放射科的质量改进表格。在第二个周期中，我们根据这九条标准对100张X线片进行了重新评估，以检查髋膝关节置换术X线片的质量。
结果
100张X线片中，51张来自膝关节置换组，49张来自髋关节置换组。综合各项标准，69张X线片质量合格，31张不合格。X线片质量欠佳与假体、骨水泥或相关解剖结构的显影情况有关。
我们创建了一份用于放射科的质量改进表格，突出了最初的九条标准。对100张髋膝关节置换术的X线片进行了重新评估。总体而言，84张X线片符合质量合格标准。
结论
髋膝关节置换术X线片的质量对于发现可能被漏诊的病变至关重要。我们提出了简单的标准，以提高X线片质量并避免重复拍摄。
