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https://hdl.handle.net/2440/71419
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Type: | Journal article |
Title: | Mentoring in complex surgery: minimising the learning curve complications from peri-acetabular osteotomy |
Author: | Howie, D. Beck, M. Costi, K. Pannach, S. Ganz, R. |
Citation: | International Orthopaedics, 2012; 36(5):921-925 |
Publisher: | Springer-Verlag |
Issue Date: | 2012 |
ISSN: | 0341-2695 1432-5195 |
Statement of Responsibility: | Donald W. Howie, Martin Beck, Kerry Costi, Susan M. Pannach, Reinhold Ganz |
Abstract: | <h4>Purpose</h4>The aim of this study was to determine whether a complex surgical procedure such as peri-acetabular osteotomy could be safely learnt by using a programme involving mentoring by a distant expert. To determine this, we examined the incidence of intra-operative complications, the acetabulum correction achieved, the late incidence of re-operation and progressive degenerative arthritis.<h4>Methods</h4>Between 1992 and 2004, peri-acetabular osteotomy was performed in 26 hips in 23 patients. The median follow-up was ten (5-17) years. The median age of the patients at operation was 28 (14-41) years. Clinical outcomes were reported and radiographic results were determined by an independent expert.<h4>Results</h4>There were no intra-articular osteotomies, sciatic nerve injuries, hingeing deformities or vascular injuries. There was one ischial nonunion. The lateral centre-edge angle improved from a median 4° pre-operatively to 25°. One revision osteotomy, one osteectomy and three total hip replacements were required, two for progression of osteoarthritis.<h4>Conclusions</h4>The programme of mentoring was successful in that there was a low incidence of the major intra-operative complications that are often reported during the learning curve period and the acetabular corrections achieved were similar to the originators. |
Keywords: | Acetabulum Hip Joint Humans Osteoarthritis Postoperative Complications Radiography Treatment Outcome Osteotomy Reoperation Incidence Follow-Up Studies Orthopedics Mentors Adolescent Adult Female Male Young Adult |
Rights: | © Springer-Verlag 2011 |
DOI: | 10.1007/s00264-011-1347-y |
Published version: | http://dx.doi.org/10.1007/s00264-011-1347-y |
Appears in Collections: | Aurora harvest 5 Orthopaedics and Trauma publications |
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