Surgeon Experience in Hip Arthroscopy Affects Surgical Time, Complication Rate, and Reoperation Rate: A Systematic Review on the Learning Curve.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Cammille C GoBenjamin G Domb

Abstract

To systematically review the literature to (1) identify the reported learning curves associated with hip arthroscopy and (2) evaluate the effect of the stated learning curves on outcomes, such as complication rates, surgical and traction time, reoperation rates, and patient-reported outcome score (PRO) improvements. Two independent reviewers screened the PubMed-MEDLINE, Embase, and Cochrane Library electronic databases from inception to January 2020 according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The following search algorithm was used: "hip arthroscopy" paired with "learning curve," "competence," "experience," "performance," and "motor skills." Data regarding study characteristics, patient demographic characteristics, PROs, and learning-curve analyses were collected. We identified 15 studies that reported the impact of the learning curve on surgical progress or clinical outcome measures. Measures of the surgical process included surgical and traction time, as well as fluoroscopy time, whereas clinical outcome measures encompassed PROs, complication rates, and reoperation rates. Three studies reported that the learning curve plateaued at 30 cases, but other studies suggested ...Continue Reading

Citations

Jan 2, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jefferson C BrandJames H Lubowitz
Apr 21, 2021·International Orthopaedics·Sheng FangXiaoliang Sun
Jul 16, 2021·Orthopaedic Journal of Sports Medicine·Austin E WiningerJoshua D Harris
Jul 1, 2021·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Martina GuidettiShane J Nho
Aug 12, 2021·Journal of Hip Preservation Surgery·David R MaldonadoBenjamin G Domb
Aug 12, 2021·Journal of Hip Preservation Surgery·John WickmanRichard C Mather

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