How does it work?
Basic information of all fractures is added in the register at different phases of treatment: in the ER and OR, in the out-patient clinics and the orthopedic ward. Most of the data is transferred automatically into the register from the hospital’s information system after manual input of the basic data. Kids Fracture Tool sends electronic surveys to the patient to follow-up on their recovery of the fracture.
We have also created an electronic consultation channel on pediatric fractures in the register. A response to the consultations will be provided within 24 hours by an attending pediatric orthopedic surgeon from the New Children’s Hospital in Helsinki.
Evolving data
So far, the Kids Fracture Tool includes data of 7.373 fractures, of which 1.495 are physeal injuries and 1.739 have been treated operatively. The rate of fracture and treatment related complications, the number of minor flaws in treatment such as unnecessary imaging studies, and the out-patient visits are continuously recorded. Attending orthopedic surgeons and surgical registrars receive a personal report of the fractures they have treated.
- Our primary goal: no permanent treatment-related vascular disasters or nerve injuries
- Our secondary goal: less than 1% redo operations or deformity corrections due to unsatisfactory primary procedure or malunion
- Our tertiary goals: > 95% patient satisfaction, the rate of unnecessary imaging studies < 5%