Evaluation of the Learning Curve Associated With Uncemented Primary Porous-Coated Anatomic Total Hip Arthroplasty

Jj, Callaghan; Rd, Heekin; Cg, Savory; Sh, Dysart; Hopkinson, W

doi:10.1097/00003086-199209000-00017

Cited by 38 publications

(17 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Outcome measures in depicting the learning curve are mostly proxy measures and have included time to completion of a task [4,6], number of X-rays necessary [4], rate of complications [11], radiological parameters [12], as well as measurements of screw placement [5,13] and the proportion of satisfactory results [7]. Time-action analysis is a video-based quantitative method that can be used to evaluate surgical technique and learning more objectively [14], but is not practical in a clinical setting.…”

Section: Introductionmentioning

confidence: 99%

Learning curves in hip fracture surgery

Bjørgul

Novicoff

Saleh

2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The aim of this study was to identify and characterise learning curves in hip fracture surgery. Operating times were collected and related to the number of procedures done by residents performing closed reduction and internal fixation using cannulated screws for intracapsular fractures of the hip and cephalomedullary nailing for trochanteric fractures, as well as hemiarthroplasty for displaced intracapsular fractures. The mean operating times decreased significantly for all four procedures studied, though at different rates. For cannulated screws, the mean duration of surgery decreased from 47.8 minutes to 30.1 minutes for procedures 21-25. For cephalomedullary nailing without distal locking, the mean operating time decreased from 73.3 minutes to 36.3 minutes. For cephalomedullary nailing with distal locking, the mean operating time decreased from 81.7 minutes to 56.9 minutes. The mean operating time for hemiarthroplasty decreased from 97.3 minutes to 66.0 minutes. Mean operating times decreased significantly for all procedures studied, though at different rates, indicating a unique learning curve for each procedure.

show abstract

Section: Introductionmentioning

confidence: 99%

Learning curves in hip fracture surgery

Bjørgul

Novicoff

Saleh

2010

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Therefore, we quantified the effect of surgeon experience on these two procedures using clinical results and the type and timing of surgical complications. Similarly, Callaghan et al demonstrated superior radiographic results including femoral canal fill and acetabular abduction during the surgeon's second 50 cementless THAs versus initial 50 cementless THAs [6]. Other markers such as operative time, length of stay, and surgical blood loss could be valuable in future investigations.…”

Section: Discussionmentioning

confidence: 96%

An Initial Experience with Hip Resurfacing versus Cementless Total Hip Arthroplasty

Arndt

Wera

Goldberg

2013

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

show abstract

“…The surgeons skill improves as he or she performs more surgeries of the similar kind, and Callaghan et al observed that radiographic results showed improvement from orthopedic surgeons initial 50 cases of cementless total hip arthroplasty towards the next 50 procedures. 26 We did not analyze in our study markers of surgeons abilities such as operative time, blood loss during the procedure or length of stay. When it comes to the surgical complications we observed that patients in the THA group were more prone to developing intra operative fractures which occurred in 6.36% of the patients and were fixed while performing the index procedure, while in the hip resurfacing group the incidence of fracture was 6.66% which occurred after index procedure and warranted revision procedure.…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis of the Hip Joint; To Compare the Outcomes of Total Hip Arthroplasty With Hip Resurfacing Procedures in Patients, at a Tertiary Care Hospital in Karachi, Pakistan

Jabbar

Shah

2017

TPMJ

View full text Add to dashboard Cite

The aim of our study is to determine the surgical outcome and rates of complication in patients undergoing surgical treatment for osteoarthritis of the hip joint with total hip arthroplasty and compare it with hip resurfacing procedures. Study Design: A prospective cohort study. Period: Five years duration from January 2011 to December 2016. Setting: Tertiary Care Centre in Karachi, Pakistan. Materials and methods: The study population consisted of n= 170 patients (n= 110 patients undergoing cementless THA and n=60 patients undergoing hip resurfacing procedures). The inclusion criteria was all the patients who came to our outpatient clinic, with unilateral or bilateral osteoarthritis (grade 3,4) of the hip joint requiring surgical treatment, were fit for surgery and gave informed consent to participate in the study. All the procedures were done by the same team of surgeons at the same institute in series under general anesthesia. Data was collected in a pre-designed proforma. Postoperatively the patients were restricted to a reduction of weight bearing by half for the first six weeks, and were involved in physiotherapy till discharge from the hospital. The patients from both groups received the same thromboembolic and infection prophylaxis. Data was analyzed using IBM SPSS version 22. Results: In our study we found that the rates of reoperation had statistically significant differences, being n= 5 in THA group and n=9 in resurfacing group having a p value of 0.019. In the resurfacing group n= 4 patients had fractures of the femoral neck. All the revision surgeries were undertaken utilizing the posterolateral approach, n= 2 patients were revised utilizing cementless femoral stems while n=2 were revised utilizing cemented femoral stem, n= 5 patients were revised to total hip arthroplasty procedure on account of aseptic loosening. No dislocations were observed after the revision surgical procedures. There was no statistically significant difference in the total rates of complications among the two groups, having a p value of 0.44. The pre-operative Harris hip scores were similar in the two groups having a p value of 0.2. Conclusion: According to the results of our study the outcome in the both the cementless total hip arthroplasty and hip resurfacing procedure are similar in terms of implant survival and clinical results however rate of complication is higher in the patients undergoing hip resurfacing technique and needed revision surgeries. The patients undergoing hip resurfacing had better mobility post operatively, and hence this consideration is to be made during patient selection, as hip resurfacing is preferred by younger patients due to its higher functional outcomes.

show abstract

Evaluation of the Learning Curve Associated With Uncemented Primary Porous-Coated Anatomic Total Hip Arthroplasty

Cited by 38 publications

References 0 publications

Learning curves in hip fracture surgery

Learning curves in hip fracture surgery

An Initial Experience with Hip Resurfacing versus Cementless Total Hip Arthroplasty

Osteoarthritis of the Hip Joint; To Compare the Outcomes of Total Hip Arthroplasty With Hip Resurfacing Procedures in Patients, at a Tertiary Care Hospital in Karachi, Pakistan

Contact Info

Product

Resources

About