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Volume 13
Journal of Orthopaedics Trauma Surgery & Related Research
Arthroplasty 2018
September 24-25, 2018
Arthroplasty
September 24-25, 2018 London, UK
11
th
International Conference on
Potential role of patient reported outcome measures combined with radiological imaging in follow-up after
elective joint replacement surgery
Amjad N Bhatti and Ian C Smith
Betsi Cadwaladr University Health Board-Glan Clwyd Hospital, UK
Patient Reported Outcome Measures (PROMs) were introduced in orthopedic practice in UK, since 2009, the National Joint Registry
emphasized its use by NHS trusts in order to improve quality of care. In this study we looked into the potential role of PROMs
combined with radiological imaging in follow up after elective joint replacement surgery. 50 patients who underwent primary
elective joint replacement surgery from Jan 2013 till Jun 2013 under care of senior author, were randomly identified, pen and paper
Oxford hip and knee score questionnaires with radiological imaging request forms were sent by post, a covering letter explaining
the rationale of study to patients in simple language was added, for the radiology request form patients were advised to go to their
nearest hospital at their convenience, a business reply pre-paid envelope was included with the letter for returning the Oxford scoring
questionnaires. 38 out of 50 patients responded to the postal request, giving a response rate of 76%, an overall improvement of 12%
from the agreed standards for postal surveys with pre-paid envelopes. The X-rays were reviewed by the radiologist and senior author
for any radiological evidence of aseptic loosening, none out of 38 X-rays which were reviewed, showed any evidence of aseptic
loosening. Oxford hip or knee score for each individual patient was calculated using a 0-48 method. Response rate of 76% indicates
that PROMs though not validated for follow-up, may have a potential role if combined with appropriate use of radiological imaging
in medium to long term follow-up after elective joint replacement surgery, which might prove beneficial in reducing work load on
routine arthroplasty follow-up clinics.
Biography
Amjad Bhatti is a Consultant Orthopedic Surgeons provides a wide range of emergency and elective treatment to patients throughout North Wales. He is currently
being an Orthopedic surgeon in the Department of Orthopedics working at Betsi Cadwaladr University Health Board, Glan Clwyd Hospital at United Kingdom.
amjad-bhatti@live.comAmjad N Bhatti et al., J Arthroplasty 2018, Volume 13