Current practice of orthopaedic surgical skills training raises performance of supervised residents in total knee arthroplasty to levels equal to those of orthopaedic surgeons

Perspectives on Medical Education
Luuk TheelenIde C Heyligers

Abstract

To investigate whether the current, generally accepted practice of orthopaedic surgical skills training can raise the performance of supervised residents to levels equal to those of experienced orthopaedic surgeons when it comes to clinical outcomes or implant position after total knee arthroplasty. In a retrospective analysis of primary total knee arthroplasty outcomes (minimum follow-up of 12 months) procedures were split into two groups: supervised orthopaedic residents as first surgeon (group R), and experienced senior orthopaedic surgeons as first surgeon (group S). Outcome data that were compared 1 year postoperatively were operation times, complications, revisions, Knee Society Scores (KSS) and radiological implant positions. Of 642 included procedures, 220 were assigned to group R and 422 to group S. No statistically significant differences between the two groups were found in patient demographics. Operation time differed significantly (group R: 81.3 min vs. group S: 71.3 min (p = 0.000)). No statistically significant differences were found for complications (p = 0.659), revision rate (p = 0.722), femoral angle (p = 0.871), tibial angle (p = 0.804), femoral slope (p = 0.779), tibial slope (p = 0.765) and KSS (p = 0.148)...Continue Reading

References

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Citations

May 3, 2019·British Medical Bulletin·Lorenzo GiordanoNicola Maffulli
Sep 11, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Sara De BoeyPeter Mertens
Nov 30, 2019·Foot & Ankle International·John Y Kwon, Caroline Williams
Apr 28, 2021·Journal of Surgical Education·Sophia A TravenHarris S Slone
Sep 15, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Musa B ZaidJeffrey J Barry
Jan 14, 2022·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ryan S MarderAditya V Maheshwari

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