Resident Involvement in Arthroscopic Knee Surgery Is Not Associated With Increased Short-term Risk to Patients

Abstract

Background: Whether resident involvement in surgical procedures affects intra- and/or postoperative outcomes is controversial. Purpose/Hypothesis: The purpose of this study was to compare operative time, adverse events, and readmission rate for arthroscopic knee surgery cases with and without resident involvement. We hypothesized that resident involvement would not negatively affect these variables. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review of the prospectively maintained National Surgical Quality Improvement Program was performed. Patients who underwent arthroscopic knee surgery between 2005 and 2012 were identified. Multivariate Poisson regression with robust error variance was used to compare the rates of postoperative adverse events and readmission within 30 days between cases with and without resident involvement. Multivariate linear regression was used to compare operative time between cohorts. Because of multiple statistical comparisons, a Bonferroni correction was used, and statistical significance was set at P < .004. Results: A total of 29,539 patients who underwent arthroscopic knee surgery were included in the study, and 11.3% of these patients had a resident involved with the case. The overall rate of adverse events was 1.62%. On multivariate analysis, resident involvement was not associated with increased rates of adverse events or readmission. Resident cases had a mean 6-minute increase in operative time ( P < .001). Conclusion: Overall, resident involvement in arthroscopic knee surgery was not associated with an increased risk of adverse events or readmission. Resident involvement was associated with only a mean increased operative time of 6 minutes, a difference that is not likely to be clinically significant. These results support the safety of resident involvement with arthroscopic knee surgery.

Ketamine Supplementation To Bupivacaine For Knee Arthroscopy: A Meta-Analysis of Randomized Controlled Trials

“…Arthroscopic knee surgery has been widely used in orthopedic surgeries [1][2][3][4]. Postoperative pan of knee arthroscopy commonly occurs due to stimulating the bare nerve endpoints and afferent nociceptors, releasing in ammatory mediators such as bradykinin, serotonin and histamine from injured cells [5,6].…”

Total elbow arthroplasty cases involving orthopaedic residents do not affect short-term postoperative complications

“…The impact of resi-4 dent participation on intraoperative and postoperative morbidity and mortality has been well evaluated in the subspecialties of trauma, spine, and arthroplasty of the shoulder, hip, and knee. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] However, no evaluations have been studied for TEA cases. In comparison to total joint arthroplasty of the hip, knee, or shoulder, TEA has a higher complication rate and inferior implant survival.…”

Resident and Fellow Participation Does Not Affect Short Term Postoperative Complications after Distal Radius Fracture Fixation

“…7 The impact of resident involvement on intraoperative and postoperative morbidity and mortality has been well evaluated in the subspecialties of lower extremity trauma, spine, and joint arthroplasty. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 However, few evaluations have been studied for hand surgery procedures. 27 28 Knowledge of the complications associated with trainee involvement for DRF fixation is important to allow surgeons to mitigate risk, to properly screen patients prior to intervention, and to dispel patient concerns about trainee involvement in their care.…”