Total Hip Arthroplasty - The Consequences of Not Templating

Description

This presentation by Benjamin Kapur discusses a quality improvement project focused on total hip arthroplasty performed at Liverpool Foundation Trust. Kapur emphasizes the importance of procedural planning, specifically highlighting the role of templating in preoperative, perioperative, and postoperative care. Templating, which involves documenting the expected size and position of implants before surgery, can help avoid surprises on the day of surgery and ensure that necessary implants are available.



The presentation delves into the relationship between the use of marker ball radiographs for templating and surgical outcomes. Kapur notes that hospitals that did not utilize templating experienced lower correlations between templated sizes and actual implants used, which often led to complications such as early failure and the need for revisions. He discusses data collected from patients between 2015 and 2019 and how different practices between two hospital trusts arose due to infection control concerns regarding the marker ball. Training and educational aspects of templating for trainees are also addressed, emphasizing its utility in understanding hip biomechanics.



Kapur concludes by underscoring the significance of documenting templating within clinical practices as per best practice guidelines and its potential to enhance surgical planning, improve inventory management, and ultimately lead to better patient outcomes. The Q&A session reveals additional concerns over infection control and cost implications regarding the use of templating in surgery.

DOI: 10.1302/3114-221712

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