Balancing training and outcomes in total knee replacement: A ten-year review

A. Faulkner (Lead / Corresponding author), M. J. Reidy, P. S. E. Davies, W. Wang, N. Buddhadev, L. Johnston, B. Clift

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Abstract

Introduction: 10-year study examining differences in total knee arthroplasty (TKA) functional outcomes and survivorship in patients operated on by consultant and trainee orthopaedic surgeons.

Method: Data was prospectively collected from all elective TKAs performed at our three linked institutions. Patient demographics, surgeon grade, and length of hospital stay were recorded. Outcomes pre-operatively and at 1, 3, 5, 7 and 10 years included mortality, need for revision surgery and function as documented by the patients' Knee Society Score.

Results: 686 patients were included in the study. 450 (65.5%) patients were operated by consultant surgeons and 236 (34.4%) by trainees. On multivariate analysis no significant differences were observed between groups in length of hospital stay (p = 0.695), implant survival (p = 0.422), and function (p = 0.507) at 10 years. On Cox regression analysis no significant difference was observed in mortality (p = 0.209) at 10 years. 4 patients over this time period were lost to formal follow up.

Conclusion: No significant difference was observed in the TKA outcomes between consultants and trainees 10 years post-operatively.

Original languageEnglish
Pages (from-to)227-231
Number of pages5
JournalSurgeon
Volume16
Issue number4
Early online date13 Dec 2017
DOIs
Publication statusPublished - Aug 2018

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Keywords

  • Knee arthroplasty
  • Total knee replacement
  • Training
  • Knee Joint/surgery
  • Knee Prosthesis
  • Humans
  • Middle Aged
  • Treatment Outcome
  • Joint Diseases/surgery
  • Aged, 80 and over
  • Adult
  • Arthroplasty, Replacement, Knee/education
  • Aged

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