Learning Curves in Arthroplasty in Orthopedic Trainees

Nzeako, Obinna; Back, Diane

doi:10.1016/j.jsurg.2016.02.006

Cited by 24 publications

(11 citation statements)

References 30 publications

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“…In orthopaedic surgery, learning curve research has been reported for a variety of operations, including the Latarjet procedure for shoulder instability, 1 robotic 18 and conventional hip and knee arthroplasty, 12 and medial patellofemoral ligament reconstruction. 3 In this month’s American Journal of Sports Medicine , Mehta and colleagues 11 report their efforts to define the surgical learning curve for hip arthroscopy.…”

mentioning

confidence: 99%

Trouble With the Curve

Reider¹

2018

Am J Sports Med

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confidence: 99%

Trouble With the Curve

Reider¹

2018

Am J Sports Med

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“…As evidenced elsewhere, residents are closely involved in patient surgical care without having a statistically significant negative impact on patient care [5][6]8,22 and work needs to be done to ensure patients are comfortable with this involvement. We demonstrated that patients overall are accepting of resident involvement in their training provided this is communicated with them and that the resident has sufficient experience and supervision.…”

Section: Discussionmentioning

confidence: 99%

Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty

et al. 2020

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Introduction: Previous work suggests that patients do not understand the extent of trainee involvement in their care and are uncomfortable with trainee involvement. Methods: We recruited 202 English speaking patients with previous or planned total joint arthroplasty of the lower limb for a prospective survey trial. We assessed participant’s knowledge of trainee level of education and confidence of trainee involvement in their surgery as a function of supervision. Results: Participants’ mean level of confidence in the consultant surgeon was 4.30 (SD±1.13) on a 5-point Likert scale. Confidence in residents was significantly less, regardless of resident experience (p < 0.05). 11.1% of participants did not want trainees involved in their treatment. 60.6% would like to know more about the education level of the trainee. Less than half of participants correctly identified the education level of residents and fellows. Conclusion: Patient confidence in trainees performing part or all of their surgery increases with resident experience and supervision. Most patients do not understand the hierarchy in education of medical trainees and would like to know more about the education level of the trainee involved in their care. Further work should explore how we can help patients better understand trainee involvement in their surgical care.

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“…ankylosing spondylitis) such as fractures around the prostheses or femoral canal perforations and dislocations. 12 Not only is CSC a low volume unit in conjunction with the Khmer surgeons also being low volume surgeons. 13,14 The other considerations are that patients are only able to receive joint replacements when implants and kit are available often leading to long time intervals between cases.…”

Section: Discussionmentioning

confidence: 99%

Total hip arthroplasty in Cambodia – Our experience of two hundred and fifty six consecutive total hip arthroplasties in a low-income country & the challenge of service delivery in this setting

Shelton¹,

Dorman²,

Long

et al. 2022

Trop Doct

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The Children's Surgical Centre has performed 256 THAs since 2007, We aim to assess the outcome of arthroplasty in a LMIC. Primary outcome: all cause of re-operation, Secondary outcome: any other complication. A retrospective review of all consecutive THA since 2007 was conducted. Electronic and physical case notes were reviewed. Statistical analysis was performed using MedCalc. 256 THA. Mean age: 43, gender M2:1F. Common pathologies include (1) AVN (44%), (2) OA (11%) and (3) DDH (11%). Revision rate 13%. Time to revision was 2.8 years (0–9). Common revision reasons: (1) stem fracture (5.8%), (2) aseptic loosening (4.8%) and (3) infection (2.7%). Complications were identified in 85 patients (33.2%). Common complications included (1) aseptic loosening (10.5%) (2) stem fracture (5.8%) and (3) dislocation (5.8%). Patients at CSC benefit from THA, the complication rates at CSC are declining suggesting the apex of the ‘learning curve’ has passed. Cheap poorly manufactured implants continue to cause catastrophic failure.

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Learning Curves in Arthroplasty in Orthopedic Trainees

Cited by 24 publications

References 30 publications

Trouble With the Curve

Trouble With the Curve

Patients’ perspectives on the extent of resident participation in the operating room for total hip or knee arthroplasty

Total hip arthroplasty in Cambodia – Our experience of two hundred and fifty six consecutive total hip arthroplasties in a low-income country & the challenge of service delivery in this setting

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