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Type: Journal article
Title: Mentoring in complex surgery: minimising the learning curve complications from peri-acetabular osteotomy
Author: Howie, D.
Beck, M.
Costi, K.
Pannach, S.
Ganz, R.
Citation: International Orthopaedics, 2012; 36(5):921-925
Publisher: Springer-Verlag
Issue Date: 2012
ISSN: 0341-2695
Statement of
Donald W. Howie, Martin Beck, Kerry Costi, Susan M. Pannach, Reinhold Ganz
Abstract: <h4>Purpose</h4>The aim of this study was to determine whether a complex surgical procedure such as peri-acetabular osteotomy could be safely learnt by using a programme involving mentoring by a distant expert. To determine this, we examined the incidence of intra-operative complications, the acetabulum correction achieved, the late incidence of re-operation and progressive degenerative arthritis.<h4>Methods</h4>Between 1992 and 2004, peri-acetabular osteotomy was performed in 26 hips in 23 patients. The median follow-up was ten (5-17) years. The median age of the patients at operation was 28 (14-41) years. Clinical outcomes were reported and radiographic results were determined by an independent expert.<h4>Results</h4>There were no intra-articular osteotomies, sciatic nerve injuries, hingeing deformities or vascular injuries. There was one ischial nonunion. The lateral centre-edge angle improved from a median 4° pre-operatively to 25°. One revision osteotomy, one osteectomy and three total hip replacements were required, two for progression of osteoarthritis.<h4>Conclusions</h4>The programme of mentoring was successful in that there was a low incidence of the major intra-operative complications that are often reported during the learning curve period and the acetabular corrections achieved were similar to the originators.
Keywords: Acetabulum
Hip Joint
Postoperative Complications
Treatment Outcome
Follow-Up Studies
Young Adult
Rights: © Springer-Verlag 2011
DOI: 10.1007/s00264-011-1347-y
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Orthopaedics and Trauma publications

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