ArticleCureus2025
Impact of Fellowship Training Type on Complication Rates in Primary and Revision Total Knee Arthroplasty by Recently Trained Board-Eligible Orthopedic Surgeons.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- More Improved Postoperative Range-of-Motion Retention After Arthroscopic Lysis of Adhesions After Total Knee Arthroplasty Is Associated With Arthroscopic Fellowship-Trained Compared With Nonfellowship-Trained Surgeons.Arthroscopy, sports medicine, and rehabilitation · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDemand for primary total knee arthroplasty (TKA) and revision TKA (rTKA) procedures is projected to increase. Many orthopedic surgery residents pursue fellowship training following residency. In investigating the impact of fellowship subspecialization on surgical outcomes, we hypothesize that procedures performed by arthroplasty-trained orthopedic surgeons will have the most favorable complication, readmission, and reoperation rates compared to other fellowships or those without fellowship training. MATERIALS AND
methodsThe American Board of Orthopaedic Surgeons (ABOS) database was queried for all adult cases of TKA and rTKA submitted between 2003 and 2019, identifying 64,437 cases performed by 4,758 candidates. Fellowship groupings included adult reconstruction (AR), sports medicine (SM), other (OTH), and no fellowship (NO). Adverse events, including complications, readmissions, and reoperations, were collected for each case. Multivariate logistic regression analyses were used in congruence with the Wald test. Chi-square tests assessed descriptive data. Statistically significant P-values were defined at P < 0.05.
resultsNO reported the least surgical and medical complications at 10.25% (n=1176) and 7.25% (n=832), respectively (P=0.001). Of AR cases, 11.6% (n=4652) experienced surgical complications. AR achieved the lowest reoperation rate of 4.45% (n=965) (P=0.002). Cases managed by SM incurred a 20% decreased readmission risk (P=0.032) compared to AR.
conclusionsAR candidates reported the lowest rates of reoperation and comparatively low rates of surgical complications. However, NO generalists reported the lowest rate of surgical and medical complications, which may be influenced by patient selection.
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