Academic Journal
Second Place Award: Residents or hip surgeons for the treatment of displaced femoral neck fractures? A 10-year survivorship rate analysis
| العنوان: | Second Place Award: Residents or hip surgeons for the treatment of displaced femoral neck fractures? A 10-year survivorship rate analysis |
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| المؤلفون: | Diaz Dilernia, Fernando, García Mansilla, Agustin, Llano, Lionel, Buljubasich, Martín, Oñativia, Jose Ignacio, Buttaro, Martin Alejandro |
| المصدر: | Current Orthopaedic Practice ; volume 30, issue 4, page 296-303 ; ISSN 1941-7551 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2019 |
| الوصف: | Background: Total hip arthroplasty (THA) is one of the most common surgical procedures taught in every medical residency program in orthopaedics. However, publications comparing long-term outcomes between hip surgeons and orthopaedic residents remain scarce. The aim of this study was to analyze the 10-year clinical outcomes, complications, and survivorship rates of patients who had THA for displaced femoral neck fractures operated either by hip surgeons or third or fourth year orthopaedic residents. Methods: We retrospectively studied 205 displaced femoral neck fractures operated between 2004-2008. We compared 95 patients treated by hip surgeons (group A) with 110 patients treated by orthopaedic residents (group B). The median follow-up of groups A and B were 10 (IQR, 8,5-11) and 10 (IQR, 9-12) years, respectively ( P =0.11). The median age of groups A and B were 79 yr (IQR, 74-83) and 79 yr (IQR, 73-83), respectively ( P =0.97). A logistic regression analysis was performed to determine the association between performing surgeons and variables found statistically significant from univariate analysis. Results: The median Merle D’Aubigné and Postel (MDA) score was 15 (IQR, 10-18) for group A and 17 (IQR, 10-18) for group B ( P =0.33). We found 43 overall complications in group A and 45 in group B ( P =0.53). We found one patient with multiple episodes of dislocation in group A and eight in group B ( P =0.03). Regarding the mortality registry, 15 patients died in group A, and 35 patients died in group B ( P =0.008). At 125 mo of follow-up, implant survivorship was 96.84% and 94.55% for the hip surgeon group and orthopaedic resident group, respectively ( P =0.42). Univariate and multivariate logistic regression analysis showed a significant association between mortality rate and the orthopaedic resident group ( P =0.009). Conclusions: In this series we found that patients treated surgically by orthopaedic residents were more than two times more likely to die compared to the ones treated by hip surgeons with no other ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/bco.0000000000000780 |
| الاتاحة: | http://dx.doi.org/10.1097/bco.0000000000000780 https://journals.lww.com/01337441-201907000-00002 |
| رقم الانضمام: | edsbas.7D28BA76 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/bco.0000000000000780 |
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