{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T21:01:38Z","timestamp":1789160498396,"version":"build-2803163510"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:00:00Z","timestamp":1611273600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:00:00Z","timestamp":1611273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Hip hemiarthroplasty (HA) is a commonly performed operation. A post-operative radiograph forms part of the routine hip fracture pathway, although patients are often mobilised prior to this investigation. This study seeks to provide evidence for a pragmatic clinical change to optimise patient safety and allocate limited resources within the National Health Service (NHS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We undertook a retrospective database review of 1563 HA procedures to assess whether the routine ordering of check radiographs played an important role in a patient\u2019s post-operative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>18 (1.2%) mechanical complications led to a return to theatre within 6\u00a0weeks of the index procedure. All were dislocations. Ten had a normal post-operative radiograph and five had documented suspicion of dislocation prior to radiography. The post-operative check radiograph was the sole identifier of dislocation in only three patients (0.2%). All three of these patients were pre-morbidly bed bound and non-communicative due to cognitive impairment (AMTS 0\/10).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Unless a patient is pre-morbidly bed bound and cognitively impaired, routine post-operative radiography following HA surgery is of little clinical benefit, yet may carry considerable risk to the patient and cost to the NHS. A pragmatic compromise is to perform intra-operative fluoroscopic imaging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-021-01605-3","type":"journal-article","created":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T06:09:26Z","timestamp":1611295766000},"page":"2915-2918","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Use radiography rarely, not routinely, for hip hemiarthroplasty"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5090-3043","authenticated-orcid":false,"given":"Lucy Clare","family":"Maling","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Martin","family":"Lynch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert William","family":"Walker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Ross","family":"Norton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rory George","family":"Middleton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,22]]},"reference":[{"key":"1605_CR1","unstructured":"Quality standard for hip fracture in adults. National Institute of Clinical Excellence 2016 Aug."},{"key":"1605_CR2","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1308\/003588413X13511609958334","volume":"95","author":"VK Chaplin","year":"2013","unstructured":"Chaplin VK, Matharu GS, Knebel RWC. Complications following hemiarthroplasty for displaced intracapsular femoral neck fractures in the absence of routine follow-up. Ann R Coll Surg Engl. 2013;95:271\u20134.","journal-title":"Ann R Coll Surg Engl"},{"key":"1605_CR3","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1111\/j.1742-1241.2006.01279.x","volume":"61","author":"J Chakravarthy","year":"2007","unstructured":"Chakravarthy J, Mangat K, Qureshi A, Porter K. Postoperative radiographs following hip fracture surgery. Do they influence patient management? 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Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing. 1972;1:233\u20138.","journal-title":"Age Ageing"},{"key":"1605_CR7","doi-asserted-by":"publisher","first-page":"799","DOI":"10.5435\/JAAOS-D-17-00114","volume":"26","author":"K Phelps","year":"2018","unstructured":"Phelps K, Coleman M, Seymour R, Bosse M. Utility of routine postoperative radiographs after fixation of lower extremity fractures. J Am Acad Orthop Surg. 2018;26:799\u2013808.","journal-title":"J Am Acad Orthop Surg"},{"key":"1605_CR8","first-page":"177","volume":"5","author":"N Radosavljevic","year":"2014","unstructured":"Radosavljevic N, Nikolic D, Lazovic M, Jeremic A. Hip fractures in a geriatric population\u2014rehabilitation based on patients needs. Aging Dis. 2014;5:177\u201382.","journal-title":"Aging Dis"},{"issue":"1","key":"1605_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00264-011-1354-z","volume":"36","author":"A Kannan","year":"2012","unstructured":"Kannan A, Kancherla R, McMahon S, Hawdon G, Soral A, Malhotra R. Arthroplasty options in femoral-neck fracture: answers from the national registries. Int Orthop. 2012;36(1):1\u20138.","journal-title":"Int Orthop"},{"key":"1605_CR10","unstructured":"Mounsey E, Rilet T, Blake S. Post-operative screening of hip hemiarthroplasties in theatre. In: Abstract BOA\/IOA Combined Meeting 2011, Dublin"},{"issue":"2","key":"1605_CR11","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1016\/j.arth.2019.09.017","volume":"35","author":"M Laflamme","year":"2020","unstructured":"Laflamme M, Angers M, Vachon J, Pomerleau V, Arteau A. High incidence of intraoperative fractures with a specific cemented stem following intracapsular displaced hip fracture. J Arthroplasty. 2020;35(2):485\u20139.","journal-title":"J Arthroplasty"},{"key":"1605_CR12","doi-asserted-by":"publisher","first-page":"2142","DOI":"10.1016\/j.injury.2020.07.001","volume":"51","author":"T Murphy","year":"2020","unstructured":"Murphy T, Akehurst H, Mutimer J. Impact of the 2020 COVID-19 pandemic on the workload of the orthopaedic service in a busy UK district general hospital. Injury. 2020;51:2142\u20137.","journal-title":"Injury"},{"key":"1605_CR13","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1016\/j.jor.2020.06.018","volume":"20","author":"K Malik-Tabassum","year":"2020","unstructured":"Malik-Tabassum K, Crooks M, Robertson A, To C, Maling L, Selmon G. Management of hip fractures during the COVID-19 pandemic at a high-volume hip fracture unit in the United Kingdom. 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