274 The Accuracy of Clinical Coding of Developmental Dysplasia of The Hip (DDH) Operations

Abstract Aim: To assess the accuracy of clinical coding developmental dysplasia hip (DDH) operations Method 106 children underwent surgery for DDH at our turst from 1997 to 2018. Our department was sent a list patients and operation dates asked tabulate data on what each had been coded as. We compared as with procedure actually performed (as per notes, clinic letters intra-operative fluoroscopy images). Results Of included in study, 128 were performed. 36 out (28%) incorrectly. The commonest error that closed reduction missed (n = 13). Seven did not have their femoral osteotomy coded. incorrectly labelled an open reduction. Four pelvic osteotomies Two reductions Conclusions shown unacceptably high number are being This has clear cost implications trust. study questions use retrospective audit research suggests inaccuracy when considering surgical outcomes hip.