Intramedullary Fixation of Trochanteric Fractures Can Be Safely Performed by Senior Residents Without Immediate Consultant Supervision.
J Surg Educ
; 79(1): 260-265, 2022.
Article
de En
| MEDLINE
| ID: mdl-34301521
ABSTRACT
OBJECTIVE:
To assess the safety of senior residents performing trochanteric hip fracture surgery without immediate consultant supervisionDESIGN:
A retrospective chart review of trochanteric hip fractures (AO-OTA 31-A) operated in a single center between years 2011 and 2016 (inclusive). Operations were divided into three groups Group 1 - surgeon was a senior resident without any immediate supervision; Group 2 - surgeon was a consultant and Group 3 - surgeon was a senior resident supervised by a consultant. The follow-up period was a minimum of 2 years or until death. All re-operations and surgical related mortality were assessed.SETTING:
Helsinki University Hospital, Finland. A tertiary level trauma center.PARTICIPANTS:
987 consecutive trochanteric fractures on 966 patients treated by operative fixation of an intertrochanteric fracture with an intramedullary nail between 2011and 2016 (inclusive).RESULTS:
The total number of reoperations was smaller in Group 1 where the surgeon was a senior resident without any immediate supervision compared to Group 2 where the surgeon was a consultant (5.5 % vs 8.8 %, p < 0.05). There were no significant differences in mortality or length of surgery. The total rate of mechanical complications was 2.0 %, with no significant differences between groups. The observed blade cut-out rate was low 1.3 %, suggesting a good overall quality of surgery.CONCLUSIONS:
Senior residents can safely perform intramedullary nailing of trochanteric fractures without immediate supervision.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Consultants
/
Fractures de la hanche
Type d'étude:
Observational_studies
Limites:
Humans
Langue:
En
Journal:
J Surg Educ
Année:
2022
Type de document:
Article