Cancellations and delays of emergent orthopedic operations at a Canadian level 1 trauma centre

Article Figures & Tables

Table 1

Age and gender of patients scheduled for emergent orthopedic surgery, Jan. 1 to Mar. 31, 2020

Table 2

Procedure count

Procedure	No. (%) of procedures n = 227
Hip fracture	36 (15.9)
Ankle fracture	35 (15.4)
Distal radius fracture	29 (12.8)
Tibial shaft fracture	14 (6.2)
Tibial plateau fracture	13 (5.7)
Calcaneus fracture	8 (3.5)
Clavicle fracture	7 (3.1)
Pelvic ring injury	6 (2.6)
Femur shaft fracture	6 (2.6)
Distal femur fracture	6 (2.6)
Olecranon fracture	5 (2.2)
Distal humerus fracture	5 (2.2)
Proximal humerus fracture	5 (2.2)
Achilles tendon rupture	5 (2.2)
Ulnar shaft fracture	5 (2.2)
Acetabulum fracture	4 (1.8)
Proximal humerus fracture dislocation	4 (1.8)
Pilon fracture	3 (1.3)
Removal of hardware	3 (1.3)
Maisonneuve fracture	3 (1.3)
Midfoot fracture	3 (1.3)
Patella fracture	3 (1.3)
Perilunate dislocation	3 (1.3)
Radial head fracture	2 (0.9)
Distal biceps rupture	2 (0.9)
Scaphoid fracture	2 (0.9)
Septic arthritis	2 (0.9)
Galeazzi fracture	1 (0.4)
Pectoralis major tear	1 (0.4)
Quadriceps tendon rupture	1 (0.4)
Compartment syndrome	1 (0.4)
Talus fracture	1 (0.4)
Patellar tendon rupture	1 (0.4)
Capitellum fracture	1 (0.4)
Chronic elbow dislocation	1 (0.4)

Table 3

Day-of surgery cancellation rates

Variable	Outpatients n = 98	Inpatients n = 87
No. of patients without cancellations	41	63
No. of patients with cancellations	57	24
No. of procedures cancelled	75	34
Mean no. of cancellations/patient	1.3	1.4
Cases done/booked	0.6	0.7

Table 4

Reasons for surgery cancellation

Group; reason	No. (%) of cases
Inpatients (n = 34)
Orthopedic emergency	17 (50)
Nonorthopedic emergency	14 (41)
Change in treatment plan	2 (6)
Noncompliance with preoperative fasting instructions	1 (3)
Outpatients (n = 75)
Orthopedic emergency	47 (63)
Nonorthopedic emergency	19 (25)
Operating room time constraint	6 (8)
Patient no-show	2 (3)
Administrative barrier	1 (1)

Table 5

Delays until surgery