The impact of surgeon handedness in total hip replacement

Pennington, Neil; Redmond, Anthony; Stewart, Todd; Stone, Martin

doi:10.1308/003588414x13946184902488

Cited by 34 publications

(34 citation statements)

References 7 publications

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“…The difference in surgical technique and outcomes between RHD and LHD surgeons has been examined before in pediatric surgery, orthopedics, neurosurgery, ophthalmology, and otolaryngology . A study compared the characteristics and precision of right and left hand needle driving in the setting of right‐handed pediatric surgeons performing laparoscopic diaphragmatic hernia repair .…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, RHD orthopedic surgeons had a higher incidence of technical failure when correcting left femur fractures with left hip screw insertion . Other orthopedic studies also showed differences in surgical outcomes based on handedness as well . Pedicle screw orientation was found to be significantly difference in RHD and LHD surgeons in one neurosurgery study, which has implications for disorientation of the pedicle .…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 90% of the population shows a preference for the right hand . The difference in surgical technique and outcomes between right hand dominant (RHD) vs left hand dominant (LHD) surgeons have been examined before in pediatric surgery, orthopedics, neurosurgery, ophthalmology, and otolaryngology . When considering knee replacements, right hand–dominant surgeons had significantly better pain scores when operating on the right knee than the left knee 1 year after surgery .…”

Section: Introductionmentioning

confidence: 99%

“…1 The difference in surgical technique and outcomes between right hand dominant (RHD) vs left hand dominant (LHD) surgeons have been examined before in pediatric surgery, orthopedics, neurosurgery, ophthalmology, and otolaryngology. [2][3][4][5][6][7] When considering knee replacements, right hand-dominant surgeons had significantly better pain scores when operating on the right knee than the left knee 1 year after surgery. 8 Prominent southpaws learn to use right hand instruments and become ambidextrous, a trait shared by our senior author (SCW).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Does surgeon handedness or experience predict immediate complications after mastectomy? A critical examination of outcomes in a single health system

Luvisa

Fan²,

Black

et al. 2020

Breast J

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Surgeons often seek to perfect their technical dexterity, and hand dominance of the surgeon is an important factor given the constraints of operative field laterality. However, experience often dictates how surgeons are able to compensate. While surgeons have experienced preference for the ipsilateral breast, the impact of surgeon handedness, experience, and volume has not been directly examined in a single study. A retrospective chart review of five breast surgeons (2 LHD) at a single institution identified 365 mastectomy patients, totaling 594 breasts, between January 2015 and June 2018. The breasts were identified as ipsilateral or contralateral based on the surgeons’ handedness. Surgeons were grouped based on length of surgical experience, three with ≥15 years and two with <15 years. Surgeons with greater experience were the highest volume surgeons in this series. Data included patient demographics, breast and oncologic history, surgical techniques, and surgical outcomes including complications. A total of 270 nonprophylactic and 324 prophylactic mastectomies were identified, of which 529 were performed by surgeons with greater than 15 years of experience and 65 by surgeons with less than 15 years. The overall complication rate was 33.5% (n = 199), of which 18.0% (n = 107) were on the ipsilateral breast and 15.5% (n = 92) were on the contralateral breast. 9.1% of complications required re‐operation (n = 54). The odds of any complication on the ipsilateral breast were 2.9 times higher than complications on the contralateral breast when looking exclusively at surgeons with <15 years of experience (P = .0353, OR = 2.92, 1.06‐8.03). Surgeons with <15 years of experience have a 2.71 (P = .05, OR 2.71, 1.361‐5.373) increase in any ischemic complication and a 16 times (P < .0001, OR = 16.01, 5.038‐50.933) increase in major operative ischemic complications. Our study finds that surgeons with less than 15 years of surgical experience have a 2.9 times higher rate of overall complication when operating on the ipsilateral breast. However, years of experience and surgeon volume have a much greater impact on any and ischemic complications after mastectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does surgeon handedness or experience predict immediate complications after mastectomy? A critical examination of outcomes in a single health system

Luvisa

Fan²,

Black

et al. 2020

Breast J

View full text Add to dashboard Cite

show abstract

“…In the study, equal numbers of left and right total hip replacement has been performed by four surgeons, two right-handed and two left-handed. So as a result, they have reached a significant statistical difference on acetabular component position [12].…”

Section: Handedness In Other Surgeriesmentioning

confidence: 96%

Surgeon Handedness in Transpedicular Instrumentation - A Short Review

Öğrenci¹,

Yaman²

2017

J Spine

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Many surgeons have right hand dominance as in the normal population. Right hand dominance may cause difficulties depending on the position of the patient and the surgeon position according to the patient during surgical treatment. Even when the patient is operated on in the neutral position, there are some challenges. In spinal surgery, the difficulties faced by surgeons are in the phase of spinal instrumentation, which requires bilateral application. The challenges experienced by surgeons with left hand dominance are quite different.

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