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https://hdl.handle.net/2440/71419
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dc.contributor.author | Howie, D. | - |
dc.contributor.author | Beck, M. | - |
dc.contributor.author | Costi, K. | - |
dc.contributor.author | Pannach, S. | - |
dc.contributor.author | Ganz, R. | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | International Orthopaedics, 2012; 36(5):921-925 | - |
dc.identifier.issn | 0341-2695 | - |
dc.identifier.issn | 1432-5195 | - |
dc.identifier.uri | http://hdl.handle.net/2440/71419 | - |
dc.description.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. | - |
dc.description.statementofresponsibility | Donald W. Howie, Martin Beck, Kerry Costi, Susan M. Pannach, Reinhold Ganz | - |
dc.language.iso | en | - |
dc.publisher | Springer-Verlag | - |
dc.rights | © Springer-Verlag 2011 | - |
dc.source.uri | http://dx.doi.org/10.1007/s00264-011-1347-y | - |
dc.subject | Acetabulum | - |
dc.subject | Hip Joint | - |
dc.subject | Humans | - |
dc.subject | Osteoarthritis | - |
dc.subject | Postoperative Complications | - |
dc.subject | Radiography | - |
dc.subject | Treatment Outcome | - |
dc.subject | Osteotomy | - |
dc.subject | Reoperation | - |
dc.subject | Incidence | - |
dc.subject | Follow-Up Studies | - |
dc.subject | Orthopedics | - |
dc.subject | Mentors | - |
dc.subject | Adolescent | - |
dc.subject | Adult | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Young Adult | - |
dc.title | Mentoring in complex surgery: minimising the learning curve complications from peri-acetabular osteotomy | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1007/s00264-011-1347-y | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Howie, D. [0000-0003-1702-3279] | - |
Appears in Collections: | Aurora harvest 5 Orthopaedics and Trauma publications |
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