Skip to main content
main-content

01.03.2014 | Original Article | Ausgabe 1/2014

European Orthopaedics and Traumatology 1/2014

A register for patients undergoing shoulder surgery—perspectives in training of surgeons

Zeitschrift:
European Orthopaedics and Traumatology > Ausgabe 1/2014
Autoren:
Ville Äärimaa, Juha Kukkonen, Keijo T. Mäkelä, Tommi Kauko, Petri Virolainen

Abstract

Background and aims

The aim of this study was to investigate the results of rotator cuff reconstructions related to surgical experience.

Materials and methods

Since August 2007, all patients (excluding joint replacements) undergoing elective shoulder surgery at our institution have been enrolled into the structural database. The register contains now more than 2,700 operated shoulders with various diagnosis. For the purpose of this study, a cohort of 576 consecutive patients who underwent an arthroscopic rotator cuff reconstruction was analysed.

Results

Five hundred sixty-nine patients were available for 1-year follow-up (dropout rate 2 %). All the operations were performed arthroscopically by two senior consultants (276 procedures), three specialists (124 procedures) and four residents (169 procedures). The mean age of patients (225 females, 344 males) was 59.6 years. The mean size of the rotator cuff tear was 25.2 mm (SD 17.5). The average operation time was 93 (range 25–235, SD 34) min. There was a significant difference in the operating time and the experience of the surgeon (p < 0.001). The preoperative and postoperative Constant scores were 52 (SD 17.4) and 74 (15.5), respectively (p < 0.0001). There was no significant difference in the pre- and postoperative Constant scores (p = 0.5816) between the surgeons.

Conclusions

A register provides a tool, which may help also in training of surgeons. Our study shows that even a technically challenging arthroscopic rotator cuff reconstruction may be performed safely with good outcome by the low-volume surgeons.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2014

European Orthopaedics and Traumatology 1/2014 Zur Ausgabe
  1. Das kostenlose Testabonnement läuft nach 14 Tagen automatisch und formlos aus. Dieses Abonnement kann nur einmal getestet werden.

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Orthopädie und Unfallchirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise