Abstract: OBJECTIVE: To assess the safety of senior residents performing trochanteric hip fracture surgery without immediate consultant supervision DESIGN: 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 3surgeon 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. (C) 2021 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.) ; Peer reviewed
Relation: https://doi.org/10.1016/j.jsurg.2021.06.026; Journal of Surgical Education; Halonen , L M , Stenroos , A , Vasara , H & Kosola , J 2022 , ' Intramedullary Fixation of Trochanteric Fractures Can Be Safely Performed by Senior Residents Without Immediate Consultant Supervision ' , Journal of Surgical Education , vol. 79 , no. 1 , pp. 260-265 . https://doi.org/10.1016/j.jsurg.2021.06.026; PURE: 175642376; PURE UUID: 188a2b4c-620f-4591-b6a2-92f69a5921c3; WOS: 000737575200038; http://hdl.handle.net/10138/355279
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