Relationship between surgical volume and early outcomes of total hip arthroplasty

Results of total hip replacement using the Robodoc surgical assistant system: clinical outcome and evaluation of complications for 97 procedures

“…The rate of general orthopaedic complications is in an area that is comparable to the described rates for manual implantation techniques (25)(26)(27). On the other hand, the rate of technical complications caused by the robotic system was worrying.…”

Does surgical volume affect outcome after primary and revision knee arthroplasty? A systematic review of the literature

“…Following review nine of these papers were discarded for the following reasons: three were duplicates [3,8,13], two were editorials, one looked at the effect of physician owned hospitals on general competing hospitals, one looked at rural hospitals, one was a letter to the editor and one paper focused on Medicaid status. This left 21 papers of which nine were related to the knee [16][17][18][19][20][21][22][23][24], often as a more general assessment of the effect of volume on lower limb arthroplasty, and 12 looking at other aspects of orthopaedic practice [25][26][27][28][29][30][31][32][33][34][35][36]. An additional two papers [37,38] were also identified through a review of the bibliographies of identified papers.…”

“…Although surgical mortality is a rare occurrence in elective orthopaedic practice there are a number of papers reporting an association between mortality and volume after elective total joint replacement (TJR) [8,13,17,20,32,36,37]. Bozic et al [36] looked at 182,146 patients who underwent primary TJR; they found that the higher the volume the lower the risk of mortality.…”

Impact of Alternative Coding Schemes on Incidence Rates of Key Complications After Total Hip Arthroplasty

“…Interestingly, data from clinical registries seem to suggest bleeding complication rates of approximately 1.0% to 3% after primary THA consistent with the results yielded by application of the Katz/Cram algorithms. 28,29 From a practical standpoint, viewing the current study in juxtaposition with registry studies seems to suggest that the PSI measures underestimate the true rates of bleeding complications. It is also important to acknowledge a number of additional issues related to hemorrhage after THA.…”

“…Prior studies using clinical registry data have reported bleeding complications in 0.5% to 2% of hip arthroplasty procedures depending upon the patient population under consideration and whether the procedure was a primary or revision procedure. [28][29][30] Moreover, from a clinical standpoint, all patients undergoing primary and revision THA have at least some minimal amount of blood loss. To the best of our knowledge, there are no studies comparing (ie, validating) the coding schemes that we have used for hemorrhage with goldstandard data obtained from medical record review for the joint arthroplasty population though validation has been performed for other related surgical complications.…”