Assessment of technical skill in hip fracture surgery using the postoperative radiograph: pilot development and validation of a final product analysis core outcome set.

Bone & Joint Open
Hannah K JamesDamian R Griffin

Abstract

To develop a core outcome set of measurements from postoperative radiographs that can be used to assess technical skill in performing dynamic hip screw (DHS) and hemiarthroplasty, and to validate these against Van der Vleuten's criteria for effective assessment. A Delphi exercise was undertaken at a regional major trauma centre to identify candidate measurement items. The feasibility of taking these measurements was tested by two of the authors (HKJ, GTRP). Validity and reliability were examined using the radiographs of operations performed by orthopaedic resident participants (n = 28) of a multicentre randomized controlled educational trial (ISRCTN20431944). Trainees were divided into novice and intermediate groups, defined as having performed < ten or ≥ ten cases each for DHS and hemiarthroplasty at baseline. The procedure-based assessment (PBA) global rating score was assumed as the gold standard assessment for the purposes of concurrent validity. Intra- and inter-rater reliability testing were performed on a random subset of 25 cases. In total, 327 DHS and 248 hemiarthroplasty procedures were performed by 28 postgraduate year (PGY) 3 to 5 orthopaedic trainees during the 2014 to 2015 surgical training year at nine NHS hospit...Continue Reading

References

Jul 1, 1995·The Journal of Bone and Joint Surgery. American Volume·M R BaumgaertnerJ M Keggi
Jul 1, 2008·Indian Journal of Orthopaedics·Shekhar SrivastavShekhar Agarwal
Jun 29, 2011·Journal of Surgical Education·John M FroelichD Gordon Allan
Aug 6, 2011·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Martyn J ParkerKurinchi Gurusamy
Jan 1, 1996·Advances in Health Sciences Education : Theory and Practice·C P Van Der Vleuten
Mar 4, 2014·Journal of Clinical Epidemiology·Ivan R DiamondPaul W Wales
Jul 31, 2014·Journal of Spinal Disorders & Techniques·Liangbi XiangJun Liu
Mar 1, 2017·The Journal of Bone and Joint Surgery. American Volume·Geoffrey T BurnsTodd A Irwin
Aug 24, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Matthew William ChristianMarcus Sciadini
Nov 30, 2018·Lancet·Christian KammerlanderWolfgang Böcker
Mar 17, 2020·Journal of Surgical Education·Zakir Haider, Alistair Hunter

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Citations

Dec 29, 2020·Bone & Joint Open·Fares S Haddad

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Methods Mentioned

BETA
total hip arthroplasty

Clinical Trials Mentioned

ISRCTN20431944

Software Mentioned

Delphi Panel
Survey Monkey

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