DECREASED SURGICAL DURATION, LESS COMPLICATIONS, AND FASTER RETURN TO ACTIVITIES ACROSS THE LEARNING CURVE FOR THE ARTHROSCOPIC LATARJET TECHNIQUE.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243205e277567
Wagner Castropil, Juliana Ribeiro Mauad, Fernando Henrique Barcelos Amorim, Alexandre Carneiro Bitar, Antonio Guilherme Padovani Garofo, Breno Schor
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Abstract

Objetive: This study aims to analyze the learning curves in performing the arthroscopic Latarjet surgery.

Methods: This was an observational, retrospective, single-center study. All cases of arthroscopic Latarjet performed in this institution from 2016 to 2021 were included. The data analyzed were surgical time (of the chief surgeon alone and the group of surgeons), complications, and time until the return to sports activities. Technical observations about the learning process were also reported.

Results: In total, 50 consecutive cases were included (93% retention of the initial sample identified at the institution). The decrease in surgical time was presented logarithmically and showed a decrease in time both for the individualized analysis of the senior surgeon (r = -0.67, p < 0.001) and for the surgical group (r = -0.476, p < 0.001). Mean operating time (and standard deviation) dropped from 235 minutes (73) in the first 10 cases to 156 minutes (34) for the subsequent cases (p < 0.001). In the first 20 cases, five intercurrences were recorded and three reoperations were performed, whereas subsequent cases presented only one intercurrence requiring surgical intervention (p = 0.032). The median time to return to sport was nine months for the first 20 cases versus six months for subsequent cases (p = 0.001).

Conclusion: The learning curve for the arthroscopic Latarjet procedure showed a progressive decrease in operative time, complications, and time to return to sports activities. This suggests that the surgeon developed the necessary skills and confidence to reach a plateau of expertise to perform the surgical procedure. Level of evidence IV, Observational retrospective.

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缩短了手术时间,减少了并发症,在学习曲线上,关节镜下拉氏刀技术恢复活动更快。
研究目的本研究旨在分析关节镜下 Latarjet 手术的学习曲线:这是一项观察性、回顾性、单中心研究。研究纳入了该机构从2016年至2021年进行的所有关节镜下Latarjet手术病例。分析的数据包括手术时间(主刀医生和外科医生小组的手术时间)、并发症和恢复运动的时间。此外,还报告了对学习过程的技术观察结果:共纳入了 50 个连续病例(占该机构最初确定样本的 93%)。手术时间的减少以对数表示,并显示资深外科医生的个性化分析(r = -0.67,p < 0.001)和手术组(r = -0.476,p < 0.001)的时间减少。平均手术时间(和标准偏差)从前十名病例的 235 分钟(73)下降到后十名病例的 156 分钟(34)(p < 0.001)。在前 20 个病例中,记录了 5 次并发症,进行了 3 次再次手术,而随后的病例中只有 1 次并发症需要手术干预(p = 0.032)。前20例恢复运动的中位时间为9个月,而后20例为6个月(p = 0.001):结论:关节镜下Latarjet手术的学习曲线显示,手术时间、并发症和恢复运动时间都在逐渐缩短。这表明外科医生掌握了必要的技能和信心,达到了进行手术的专业水平。证据等级IV,观察性回顾研究。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
期刊最新文献
OUTCOMES OF SURGICAL TREATMENT OF DIAPHYSEAL FEMUR FRACTURES IN POLYTRAUMATIZED CHILDREN. COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS. DECREASED SURGICAL DURATION, LESS COMPLICATIONS, AND FASTER RETURN TO ACTIVITIES ACROSS THE LEARNING CURVE FOR THE ARTHROSCOPIC LATARJET TECHNIQUE. EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH TIBIA DIAPHYSIS FRACTURE TREATED AT A TERTIARY LEVEL HOSPITAL. LEVELS OF EVIDENCE IN ONCOLOGIC-ORTHOPEDIC STUDIES - ACTA ORTOP BRAS (1993-2022).
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