ArticleScientific reports2017
Trainee Surgeons Affect Operative Time but not Outcome in Minimally Invasive Total Hip Arthroplasty.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of resident training with complication risk in total hip and knee arthroplasty: a systematic review and meta-analysis.Acta orthopaedica · 2025Pooled it
- A prospective randomized comparison of the minimally invasive direct anterior and the transgluteal approach for primary total hip arthroplasty.BMC musculoskeletal disorders · 2018Trial
- Lessons from the learning curve of the direct anterior approach in total hip arthroplasty: a systematic review.Musculoskeletal surgery · 2026Review
- Learning curve comparison between switching approach and switching implant in cementless short stem total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Comparing Anesthesia and Surgery Controlled Time for Primary Total Knee and Hip Arthroplasty Between an Academic Medical Center and a Community Hospital: Retrospective Cohort Study.JMIR perioperative medicine · 2024Article
- Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Pain and rehabilitation after total hip arthroplasty are approach dependent: results 6 weeks and 2 years after surgery in a multisurgeon, single-center, and prospective cohort study.Archives of orthopaedic and trauma surgery · 2023Article
- Pain and rehabilitation after total hip arthroplasty are approach dependent: a multisurgeon, single-center, prospective cohort study.Archives of orthopaedic and trauma surgery · 2022Article
- Does Resident Participation Influence Surgical Time and Clinical Outcomes? An Analysis on Primary Bilateral Single-Staged Sequential Total Knee Arthroplasty.Arthroplasty today · 2022Article
- Compared learning curves of the direct anterior and anterolateral approach for minimally invasive hip replacement.Orthopedic reviews · 2022Article
- [The superiority of navigation and robotics in hip arthroplasty: fact or myth?]Der Orthopade · 2021Review
- [Gluteal insufficiency].Der Orthopade · 2020Article
- Short- and intermediate-term clinical outcome comparison between laparoscopic and robotic-assisted median arcuate ligament release.Journal of robotic surgery · 2020Article
- Customized implants for acetabular Paprosky III defects may be positioned with high accuracy in revision hip arthroplasty.International orthopaedics · 2019Article
- Complications after direct anterior versus Watson-Jones approach in total hip arthroplasty: results from a matched pair analysis on 1408 patients.BMC musculoskeletal disorders · 2019Article
- A systematic review and meta-analysis of trainee-EFORT open reviews · 2019Review
- Predicting Outcome after Total Hip Arthroplasty: The Role of Preoperative Patient-Reported Measures.BioMed research international · 2019Article
- Learning curve with a new primary total knee arthroplasty implant: a multicenter perspective with more than 2000 patients.Arthroplasty today · 2018Article
- Resident Participation is Not Associated With Worse Outcomes After TKA.Clinical orthopaedics and related research · 2018Article
- Revision Surgery in Total Joint Replacement Is Cost-Intensive.BioMed research international · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Training of young surgeons in total hip arthroplasty (THA) is crucial, but might affect operative time and outcome especially in minimally invasive (MIS) THA. We asked whether the learning curve of orthopaedic residents trained on MIS THA has an impact on (1) operative time (2) complication rates and (3) early postoperative outcome. In a retrospective analysis of over 1000 MIS THAs from our institutional joint registry, operative time, complication rates, patient reported outcome measures (Western Ontario and McMaster Universities Arthritis Index [WOMAC] and Euro-Qol 5D-5L [EQ-5D]) within the first year and responder rates for positive outcome as defined by the Outcome Measures in Rheumatology and Osteoarthritis Research Society International consensus responder (OMERACT-OARSI) criteria were compared between trainee and senior surgeons. Mean operative time was nine minutes longer for trainees compared to senior surgeons (78.1 ± 25.4 min versus 69.3 ± 23.8 min, p < 0.001). Dislocation (p = 0.21), intraoperative fracture (p = 0.84) and infection rates (p = 0.58) were comparably low in both groups. Both trainee and senior THAs showed excellent improvement of EQ-5D (0.34 ± 0.26 versus 0.32 ± 0.23, p = 0.40) and WOMAC (45.9 ± 22.1 versus 44.9 ± 20.0, p = 0.51) within the first year after surgery without clinical relevant differences. Similarly, responder rates for positive outcome were comparable between trainees with 92.9% and senior surgeons with 95.2% (p = 0.17). MIS THA seems to be a safe procedure during the learning curve of young orthopaedic specialists, but requires higher operative time.
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