Audit of SWFT Ankle Fracture Management Compared to BOAST Guidelines
Abstract
Aim: In 2016 the BOA introduced an Audit Standard for Trauma (BOAST) for the management of ankle fractures. Our aim was to conduct an audit of SWFT compliance with the 2016 BOAST guidelines.
Method: We conducted a retrospective analysis of 49 patients who attended SWFT in 2018-2019. Their admission X-Ray views, neurovascular status & co-morbidity documentation, time to theatre and weight bearing status post operatively were reviewed. We also reviewed the outcomes of follow up to determine whether a change in WB status was implemented.
Result: 82% patients had their neurovascular status documented, 94% had their co-morbidities documented and 67% had correct imaging performed. 2 patients were initially treated conservatively, the average time to theatre for the remainder was 3 days. None of the patients were FWB post op - 6% could touch WB and 94% were NWB. On follow up, 78% patients remained NWB for
6 weeks, 9 were allowed to WB sooner & 2 patients were repatriated post op.
Conclusion: The Orthopaedic department at SWFT is maintaining a correlation with BOAST 2016 ankle fracture guidelines in certain aspects such as NV status and co-morbidities. However, we are not adhering to guidelines regarding WB status of patients post-operatively.
Author
Citations
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Date
2020-06
Type
Conference Output
Subject
Orthopaedics, Surgery
Collections
Citation
Carlos W, Denning A, Gill G, Rowe G. Audit of SWFT Ankle Fracture Management Compared to BOAST Guidelines. Br J Surg. 2020 Jun;107 Suppl 3:134. doi: 10.1002/bjs.11642.
Journal / Source Title
British Journal of Surgery
DOI
10.1002/bjs.11642
PMID
32578881
Publisher
Oxford University Press