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

TY - JOUR

T1 - Balancing training and outcomes in total knee replacement

T2 - A ten-year review

AU - Faulkner, A.

AU - Reidy, M. J.

AU - Davies, P. S. E.

AU - Wang, W.

AU - Buddhadev, N.

AU - Johnston, L.

AU - Clift, B.

N1 - No Funding information

PY - 2018/8

Y1 - 2018/8

N2 - 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.

AB - 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.

KW - Knee arthroplasty

KW - Total knee replacement

KW - Training

KW - Knee Joint/surgery

KW - Knee Prosthesis

KW - Humans

KW - Middle Aged

KW - Treatment Outcome

KW - Joint Diseases/surgery

KW - Aged, 80 and over

KW - Adult

KW - Arthroplasty, Replacement, Knee/education

KW - Aged

U2 - 10.1016/j.surge.2017.10.003

DO - 10.1016/j.surge.2017.10.003

M3 - Article

C2 - 29248360

AN - SCOPUS:85039051403

SN - 1479-666X

VL - 16

SP - 227

EP - 231

JO - Surgeon

JF - Surgeon

IS - 4

ER -