Defining the Learning Curve for Hip Arthroscopy: A Threshold Analysis of the Volume-Outcomes Relationship.
Fuente
Este artículo es originalmente publicado en:
https://www.ncbi.nlm.nih.gov/pubmed/29337602
http://journals.sagepub.com/doi/abs/10.1177/0363546517749219?journalCode=ajsb
de:
Mehta N1, Chamberlin P1, Marx RG1, Hidaka C1, Ge Y1, Nawabi DH1, Lyman S1.
Am J Sports Med. 2018 Jan 1:363546517749219. doi: 10.1177/0363546517749219. [Epub ahead of print]
Todos los derechos reservados para:
Copyright © 2018 by American Orthopaedic Society for Sports Medicine
Abstract
BACKGROUND:
Hip arthroscopy has emerged as a successful option for the treatment of femoroacetabular impingement and related hip disorders, but the procedure is technically challenging.
PURPOSE:
To define the learning curve through which surgeons become proficient at hip arthroscopy.
CONCLUSION:
The learning curve for hip arthroscopy was unexpectedly demanding. Cases performed by surgeons with career volumes ≥519 had significantly lower risk of subsequent hip surgery than those performed by lower-volume surgeons.
KEYWORDS:
femoroacetabular impingement; hip arthroscopy; learning curve; surgeon volume
Resumen
ANTECEDENTES:
La artroscopia de cadera se ha convertido en una opción exitosa para el tratamiento del choque femoroacetabular y los trastornos de la cadera relacionados, pero el procedimiento es técnicamente difícil.
PROPÓSITO:
Para definir la curva de aprendizaje a través del cual los cirujanos se vuelven competentes en la artroscopia de cadera.
CONCLUSIÓN:
La curva de aprendizaje para la artroscopia de cadera fue inesperadamente exigente. Los casos realizados por cirujanos con volúmenes de carrera ≥519 tuvieron un riesgo significativamente menor de cirugía de cadera posterior que los realizados por cirujanos de bajo volumen.
PALABRAS CLAVE:
choque femoroacetabular; artroscopia de cadera; curva de aprendizaje; volumen del cirujano
- PMID: 29337602 DOI: 10.1177/0363546517749219
Hip arthroscopy for FAI can be beneficial for some pt’s, yet this procedure is challenging. pt’s who had surgery with a surgeon w/ history of high volumes of this procedure had sig. ⬇️ risk of subsequent surgery. pt’s should consider surgeon volumes https://t.co/9f6u5jXMrF pic.twitter.com/g3luHfpKAi
— Discover Physio (@DiscoverPhysio) 12 de marzo de 2018
