Does Resident Involvement Impact Post-Operative Complications Following Primary Total Knee Arthroplasty? An Analysis of 24,529 Cases

Haughom, Bryan D.; Schairer, William W.; Hellman, Michael D.; Yi, Paul H.; Levine, Brett R.

doi:10.1016/j.arth.2014.02.036

Cited by 70 publications

(65 citation statements)

References 39 publications

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“…2,3 Resident involvement has not been shown to increase adverse events in total knee arthroplasty, although it does increase operative time. [21][22][23][24] Subgroup analysis of junior residents, senior residents, and fellows did not reveal any significant differences. Schoenfeld et al 25 reviewed 43,343 orthopaedic cases and reported a small increase in minor complications for arthroplasty procedures with resident involvement but no increased morbidity in spine, hand, amputation, or sports cases.…”

Section: Discussionmentioning

confidence: 58%

Operative Intervention of Supracondylar Humerus Fractures More Complicated in July: Analysis of the July Effect

Bagsby

Loder

Myung

2017

Journal of Pediatric Orthopaedics

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Section: Discussionmentioning

confidence: 58%

Operative Intervention of Supracondylar Humerus Fractures More Complicated in July: Analysis of the July Effect

Bagsby

Loder

Myung

2017

Journal of Pediatric Orthopaedics

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“…Overall, the NSQIP has been shown in the literature to be a high-quality database to study perioperative complications. 8,15,16,23,24,36,38 …”

Section: Discussionmentioning

confidence: 99%

Comparison of 30-Day Morbidity and Mortality After Arthroscopic Bankart, Open Bankart, and Latarjet-Bristow Procedures: A Review of 2864 Cases

Bokshan

DeFroda

Owens

2017

Orthopaedic Journal of Sports Medicine

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Background:Surgical intervention for anterior shoulder instability is commonly performed and is highly successful in reducing instances of recurrent instability.Purpose:To determine and compare the incidence of 30-day complications and patient and surgical risk factors for complications for arthroscopic Bankart, open Bankart, and Latarjet-Bristow procedures.Study Design:Cohort study; Level of evidence, 3.Methods:All arthroscopic Bankart, open Bankart, and Latarjet-Bristow procedures from 2005 to 2014 from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) prospective database were analyzed. Baseline patient variables were assessed, including the Charlson Comorbidity Index (CCI). Outcomes measures included length of operation, length of hospital stay, need for hospital admission, 30-day readmission, and 30-day return to the operating room. Binary logistic regression was performed for the presence of any complications after all 3 procedures.Results:There were 2864 surgical procedures (410 open Bankart, 163 Latarjet-Bristow, and 2291 arthroscopic Bankart) included. There was no significant difference with regard to age (P = .11), body mass index (P = .17), American Society of Anesthesiologists class (P = .423), or CCI (P = .479) for each group. The Latarjet-Bristow procedure had the highest overall complication rate (5.5%) compared with open (1.0%) and arthroscopic (0.6%) Bankart repairs. The Latarjet-Bristow procedure had significantly longer mean operative times (P < .001) in addition to the highest 30-day return rate to the operating room (4.3%; 95% confidence interval, 1.2%-7.4%). Smoking status was an independent predictor of a postoperative complication (P = .05; odds ratio, 8.0) after Latarjet-Bristow.Conclusion:Surgical intervention for anterior shoulder instability has a low rate of complication (arthroscopic Bankart, 0.6%; open Bankart, 1.0%; Latarjet-Bristow, 5.5%) in the early postoperative period, with the most common being surgical site infection, deep vein thrombosis, and return to the operating room.

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“…3,4 Numerous studies were conducted to elucidate the relationship between resident involvement and postoperative complications with conflicting results. [5][6][7][8][9][10][11][12] Several studies have demonstrated that resident involvement was not a risk factor for increased complications in neurosurgery, orthopedic surgery, or urology. [5][6][7][8] Meanwhile, other studies have shown increased operative durations and post-operative complications when residents were involved in surgery.…”

mentioning

confidence: 99%

“…[5][6][7][8][9][10][11][12] Several studies have demonstrated that resident involvement was not a risk factor for increased complications in neurosurgery, orthopedic surgery, or urology. [5][6][7][8] Meanwhile, other studies have shown increased operative durations and post-operative complications when residents were involved in surgery. [9][10][11][12] In ACDF, resident participation in the operating room occurs early on and continues through their senior years of training.…”

mentioning

confidence: 99%

Impact of Resident Participation on Outcomes After Single-Level Anterior Cervical Diskectomy and Fusion

Kim

García

Smith

et al. 2016

SPINE

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Does Resident Involvement Impact Post-Operative Complications Following Primary Total Knee Arthroplasty? An Analysis of 24,529 Cases

Cited by 70 publications

References 39 publications

Operative Intervention of Supracondylar Humerus Fractures More Complicated in July: Analysis of the July Effect

Operative Intervention of Supracondylar Humerus Fractures More Complicated in July: Analysis of the July Effect

Comparison of 30-Day Morbidity and Mortality After Arthroscopic Bankart, Open Bankart, and Latarjet-Bristow Procedures: A Review of 2864 Cases

Impact of Resident Participation on Outcomes After Single-Level Anterior Cervical Diskectomy and Fusion

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