Learning curves in orthopaedic surgery: a case for super-specialisation?
Learning curves in orthopaedic surgery: a case for super-specialisation?
INTRODUCTION: The objective of this study was to assess if there is a significant learning curve in the treatment of developmental dysplasia of the hip.
PATIENTS AND METHODS: We followed up cases of developmental dysplasia of the hip treated by a single surgeon over a 12-year period. There were 96 cases, 56 treated by open reduction and 40 treated by closed reduction. Assessment was made of the incidence and degree of avascular necrosis in the treated hips, as a radiological outcome measure.
RESULTS: Plotting the cumulative percentage of satisfactory outcomes demonstrated an increasingly high percentage of satisfactory results with increasing number of procedures performed, i.e. as the surgeon progressed up the 'learning curve'.
CONCLUSIONS: This study demonstrates a learning curve in the treatment of developmental dysplasia of the hip. It may be possible to draw parallels to other treatments, and also support for the growing trend to specialisation
orthopedic procedures, congenital, retrospective studies, specialism, humans, surgery, medical audit, infant, incidence, orthopedics, hip, methods, standards, education, hip dislocation, clinical competence
143-146
Jain, N.P.
2d37a0dd-067e-4c4c-a95a-ed8c047f96e0
Jowett, A.J.
d55f3672-988f-40a2-b89c-eaa40dc12827
Clarke, N.M.
76688c21-d51e-48fa-a84d-deec66baf8ac
2007
Jain, N.P.
2d37a0dd-067e-4c4c-a95a-ed8c047f96e0
Jowett, A.J.
d55f3672-988f-40a2-b89c-eaa40dc12827
Clarke, N.M.
76688c21-d51e-48fa-a84d-deec66baf8ac
Jain, N.P., Jowett, A.J. and Clarke, N.M.
(2007)
Learning curves in orthopaedic surgery: a case for super-specialisation?
Annals of The Royal College of Surgeons of England, 89 (2), .
(doi:10.1308/003588407X155798).
Abstract
INTRODUCTION: The objective of this study was to assess if there is a significant learning curve in the treatment of developmental dysplasia of the hip.
PATIENTS AND METHODS: We followed up cases of developmental dysplasia of the hip treated by a single surgeon over a 12-year period. There were 96 cases, 56 treated by open reduction and 40 treated by closed reduction. Assessment was made of the incidence and degree of avascular necrosis in the treated hips, as a radiological outcome measure.
RESULTS: Plotting the cumulative percentage of satisfactory outcomes demonstrated an increasingly high percentage of satisfactory results with increasing number of procedures performed, i.e. as the surgeon progressed up the 'learning curve'.
CONCLUSIONS: This study demonstrates a learning curve in the treatment of developmental dysplasia of the hip. It may be possible to draw parallels to other treatments, and also support for the growing trend to specialisation
This record has no associated files available for download.
More information
Published date: 2007
Keywords:
orthopedic procedures, congenital, retrospective studies, specialism, humans, surgery, medical audit, infant, incidence, orthopedics, hip, methods, standards, education, hip dislocation, clinical competence
Identifiers
Local EPrints ID: 61246
URI: http://eprints.soton.ac.uk/id/eprint/61246
ISSN: 0035-8843
PURE UUID: 5c9932c8-3119-483f-ae02-b58a7aa92275
Catalogue record
Date deposited: 04 Sep 2008
Last modified: 15 Mar 2024 11:25
Export record
Altmetrics
Contributors
Author:
N.P. Jain
Author:
A.J. Jowett
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics