Resident training does not influence the complication risk in total knee and hip arthroplasty

Background and purpose — Gaining experience in the surgery room during residency is an important part of learning the skills needed to perform arthroplasties. However, in practice, patients are often not fully comfortable with trainee involvement in their own surgery. Therefore, we investigated comp...

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Autores principales:	Daphne M Bron, Nienke Wolterbeek, Rudolf W Poolman, Diederik H R Kempen, Diyar Delawi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/2d27bd90f1024e9980034216bee6d5f9
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spelling	oai:doaj.org-article:2d27bd90f1024e9980034216bee6d5f92021-11-26T11:19:48ZResident training does not influence the complication risk in total knee and hip arthroplasty1745-36741745-368210.1080/17453674.2021.1979296https://doaj.org/article/2d27bd90f1024e9980034216bee6d5f92021-10-01T00:00:00Zhttp://dx.doi.org/10.1080/17453674.2021.1979296https://doaj.org/toc/1745-3674https://doaj.org/toc/1745-3682Background and purpose — Gaining experience in the surgery room during residency is an important part of learning the skills needed to perform arthroplasties. However, in practice, patients are often not fully comfortable with trainee involvement in their own surgery. Therefore, we investigated complications, revision rates, mortality, and operative time of orthopedic surgeons and residents as primary surgeon performing total knee arthroplasties (TKAs) or total hip arthroplasties (THAs). Patients and methods — In this multi-center retrospective cohort study, 3,098 TKAs and 4,027 THAs performed between 2007 and 2013 were analyzed. Complications, revisions, mortality, and operative time were compared for patients operated on by the orthopedic surgeon or a resident as primary surgeon. An additional analysis was performed to determine whether the complication risk was affected by the postgraduate year of the resident. Results — Orthopedic complication rates were similar (TKA: orthopedic surgeon: 10%, resident: 11%; THA: 9% and 8%), revision rates (TKA: 3% and 2%, THA: 3% and 2%), or mortality rates (TKA: 0.1% and 0.3%, THA: 0.2% and 0.3%). For both procedures a higher non-orthopedic complication rate was found in the resident group (TKA: 8% and 10%; p = 0.03, THA: 8% and 10%; p = 0.01) and a slightly longer operative time (TKA: mean difference 9.0 minutes (8%); THA: 11.3 minutes (11%)). Interpretation — Complications, revisions, and mortality were similar in TKAs or THAs performed by the resident as primary surgeon compared with surgeries performed by an orthopedic surgeon. This data can be used in teaching hospitals and may help to reassure patients.Daphne M BronNienke WolterbeekRudolf W PoolmanDiederik H R KempenDiyar DelawiTaylor & Francis GrouparticleOrthopedic surgeryRD701-811ENActa Orthopaedica, Vol 92, Iss 6, Pp 689-694 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Daphne M Bron Nienke Wolterbeek Rudolf W Poolman Diederik H R Kempen Diyar Delawi Resident training does not influence the complication risk in total knee and hip arthroplasty
description	Background and purpose — Gaining experience in the surgery room during residency is an important part of learning the skills needed to perform arthroplasties. However, in practice, patients are often not fully comfortable with trainee involvement in their own surgery. Therefore, we investigated complications, revision rates, mortality, and operative time of orthopedic surgeons and residents as primary surgeon performing total knee arthroplasties (TKAs) or total hip arthroplasties (THAs). Patients and methods — In this multi-center retrospective cohort study, 3,098 TKAs and 4,027 THAs performed between 2007 and 2013 were analyzed. Complications, revisions, mortality, and operative time were compared for patients operated on by the orthopedic surgeon or a resident as primary surgeon. An additional analysis was performed to determine whether the complication risk was affected by the postgraduate year of the resident. Results — Orthopedic complication rates were similar (TKA: orthopedic surgeon: 10%, resident: 11%; THA: 9% and 8%), revision rates (TKA: 3% and 2%, THA: 3% and 2%), or mortality rates (TKA: 0.1% and 0.3%, THA: 0.2% and 0.3%). For both procedures a higher non-orthopedic complication rate was found in the resident group (TKA: 8% and 10%; p = 0.03, THA: 8% and 10%; p = 0.01) and a slightly longer operative time (TKA: mean difference 9.0 minutes (8%); THA: 11.3 minutes (11%)). Interpretation — Complications, revisions, and mortality were similar in TKAs or THAs performed by the resident as primary surgeon compared with surgeries performed by an orthopedic surgeon. This data can be used in teaching hospitals and may help to reassure patients.
format	article
author	Daphne M Bron Nienke Wolterbeek Rudolf W Poolman Diederik H R Kempen Diyar Delawi
author_facet	Daphne M Bron Nienke Wolterbeek Rudolf W Poolman Diederik H R Kempen Diyar Delawi
author_sort	Daphne M Bron
title	Resident training does not influence the complication risk in total knee and hip arthroplasty
title_short	Resident training does not influence the complication risk in total knee and hip arthroplasty
title_full	Resident training does not influence the complication risk in total knee and hip arthroplasty
title_fullStr	Resident training does not influence the complication risk in total knee and hip arthroplasty
title_full_unstemmed	Resident training does not influence the complication risk in total knee and hip arthroplasty
title_sort	resident training does not influence the complication risk in total knee and hip arthroplasty
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/2d27bd90f1024e9980034216bee6d5f9
work_keys_str_mv	AT daphnembron residenttrainingdoesnotinfluencethecomplicationriskintotalkneeandhiparthroplasty AT nienkewolterbeek residenttrainingdoesnotinfluencethecomplicationriskintotalkneeandhiparthroplasty AT rudolfwpoolman residenttrainingdoesnotinfluencethecomplicationriskintotalkneeandhiparthroplasty AT diederikhrkempen residenttrainingdoesnotinfluencethecomplicationriskintotalkneeandhiparthroplasty AT diyardelawi residenttrainingdoesnotinfluencethecomplicationriskintotalkneeandhiparthroplasty
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Resident training does not influence the complication risk in total knee and hip arthroplasty

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