Failure of the sliding hip screw in the treatment of femoral neck fractures: ‘Left-handed surgeons for left-sided hips’

Moloney, David; Bishay, M.; Ivory, J.; Pozo, J.L.

doi:10.1016/0020-1383(94)90194-5

Cited by 24 publications

(26 citation statements)

References 4 publications

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“…Several reports of the surgical results of left-handed physicians in laparoscopic surgery, cardiopulmonary bypass surgery, and sliding hip-screws surgery have been published. [18][19][20] Recently, Mahmood et al 21 found that The field of surgery has a strong bias for professionals with right-handed laterality. 22 Left-handed surgeons live in a right-handed surgical environment and are required to adapt because surgical procedures, instruments, and setting are usually standardized for right-handed persons.…”

Section: Discussionmentioning

confidence: 99%

Incidence of intraoperative complications in cataract surgery performed by left-handed residents

Kim¹,

Ali²,

Cremers³

et al. 2009

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 99%

Incidence of intraoperative complications in cataract surgery performed by left-handed residents

Kim¹,

Ali²,

Cremers³

et al. 2009

Journal of Cataract and Refractive Surgery

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“…The difference in surgical technique and outcomes between RHD and LHD surgeons has been examined before in pediatric surgery, orthopedics, neurosurgery, ophthalmology, and otolaryngology . A study compared the characteristics and precision of right and left hand needle driving in the setting of right‐handed pediatric surgeons performing laparoscopic diaphragmatic hernia repair .…”

Section: Discussionmentioning

confidence: 99%

“…Right‐sided total knee arthroplasty (TKA) procedures performed by RHD surgeons had improved outcomes as compared to left knee TKA procedures . Additionally, RHD orthopedic surgeons had a higher incidence of technical failure when correcting left femur fractures with left hip screw insertion . Other orthopedic studies also showed differences in surgical outcomes based on handedness as well .…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 90% of the population shows a preference for the right hand . The difference in surgical technique and outcomes between right hand dominant (RHD) vs left hand dominant (LHD) surgeons have been examined before in pediatric surgery, orthopedics, neurosurgery, ophthalmology, and otolaryngology . When considering knee replacements, right hand–dominant surgeons had significantly better pain scores when operating on the right knee than the left knee 1 year after surgery .…”

Section: Introductionmentioning

confidence: 99%

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Does surgeon handedness or experience predict immediate complications after mastectomy? A critical examination of outcomes in a single health system

Luvisa

Fan²,

Black

et al. 2020

Breast J

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Surgeons often seek to perfect their technical dexterity, and hand dominance of the surgeon is an important factor given the constraints of operative field laterality. However, experience often dictates how surgeons are able to compensate. While surgeons have experienced preference for the ipsilateral breast, the impact of surgeon handedness, experience, and volume has not been directly examined in a single study. A retrospective chart review of five breast surgeons (2 LHD) at a single institution identified 365 mastectomy patients, totaling 594 breasts, between January 2015 and June 2018. The breasts were identified as ipsilateral or contralateral based on the surgeons’ handedness. Surgeons were grouped based on length of surgical experience, three with ≥15 years and two with <15 years. Surgeons with greater experience were the highest volume surgeons in this series. Data included patient demographics, breast and oncologic history, surgical techniques, and surgical outcomes including complications. A total of 270 nonprophylactic and 324 prophylactic mastectomies were identified, of which 529 were performed by surgeons with greater than 15 years of experience and 65 by surgeons with less than 15 years. The overall complication rate was 33.5% (n = 199), of which 18.0% (n = 107) were on the ipsilateral breast and 15.5% (n = 92) were on the contralateral breast. 9.1% of complications required re‐operation (n = 54). The odds of any complication on the ipsilateral breast were 2.9 times higher than complications on the contralateral breast when looking exclusively at surgeons with <15 years of experience (P = .0353, OR = 2.92, 1.06‐8.03). Surgeons with <15 years of experience have a 2.71 (P = .05, OR 2.71, 1.361‐5.373) increase in any ischemic complication and a 16 times (P < .0001, OR = 16.01, 5.038‐50.933) increase in major operative ischemic complications. Our study finds that surgeons with less than 15 years of surgical experience have a 2.9 times higher rate of overall complication when operating on the ipsilateral breast. However, years of experience and surgeon volume have a much greater impact on any and ischemic complications after mastectomy.

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“…Poor insertion of the sliding hip screw and pedicle screws is more commonly found on the left side when the surgeon is right-handed [9] [10]. Osteoarthritis occurs equally on both sides, but laterality of surgeons might influence the clinical features of orthopedic surgery.…”

Section: Introductionmentioning

confidence: 99%

The Association between Surgery Laterality in Orthopedists and the Choices of Prostheses in Total Knee and Hip Replacement

Hsieh¹,

Lan²,

Chang³

et al. 2018

OJO

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Background: Most orthopedists are right-handed. However, osteoarthritis occurs with equal frequency over both sides. Does perfect and effective arthroplasty surgery require ambidextrous motor skills? Objectives: In this study, we aimed to investigate the clinical features of arthroplasty for hip and knee joints (THR and TKR) on different sides affected by orthopedist laterality. Patients and Methods: All right-handed orthopedists performed 64 right and 52 left primary THR among 100 patients, and 115 right and 118 left primary TKR among 192 patients. Clinical and surgical features were retrospectively reviewed and analyzed. The body mass index (BMI), inner diameter of acetabular cup liners (ACD), diameter of the femoral head (FHD), diameter of the femoral stem (FSD), and the femoral neck length (FNL) were included in THR-receiving patients. The BMI, femoral component (FC) size, tibial plate (TP) size, and thickness of articular surface inserts (ASI) were included in TKR-receiving patients. Results: No significant differences were observed in ACD, FHD and FSD between patients receiving right and left THR groups (p = 0.16, 0.11, and 0.05, respectively). Similarly, there were no significant differences in FC, TP, and ASI between patients receiving right and left TKR groups (p = 0.06, 0.80, and 0.46, respectively). However, FNL in left THR group was significantly longer than that in right THR group (p = 0.01). Conclusion: This study showed that dexterity or proprioception in handedness had no affect on bone resection and thicknesses of the polyethylene in TKR and acetabular reaming and femoral canal rasping in THR. However, it did lead to differences in femoral neck resection. Right-handed orthopedists significantly tend to perform excessive femoral neck cutting or prefer the larger How to cite this paper:

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Failure of the sliding hip screw in the treatment of femoral neck fractures: ‘Left-handed surgeons for left-sided hips’

Cited by 24 publications

References 4 publications

Incidence of intraoperative complications in cataract surgery performed by left-handed residents

Incidence of intraoperative complications in cataract surgery performed by left-handed residents

Does surgeon handedness or experience predict immediate complications after mastectomy? A critical examination of outcomes in a single health system

The Association between Surgery Laterality in Orthopedists and the Choices of Prostheses in Total Knee and Hip Replacement

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