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The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons

Hip preservation is one of the fastest growing subspecialties in orthopaedic surgery. Surgical training recommendations and guidelines in this field are lacking. To survey high volume hip preservation surgeons regarding their perspectives on the current and future training of surgeons entering their...

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Autores principales: Chen, Austin W, Steffes, Matthew J, Laseter, Joseph R, Maldonado, David R, Ortiz-Declet, Victor, Perets, Itay, Domb, Benjamin G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206689/
https://www.ncbi.nlm.nih.gov/pubmed/30393559
http://dx.doi.org/10.1093/jhps/hny032
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author Chen, Austin W
Steffes, Matthew J
Laseter, Joseph R
Maldonado, David R
Ortiz-Declet, Victor
Perets, Itay
Domb, Benjamin G
author_facet Chen, Austin W
Steffes, Matthew J
Laseter, Joseph R
Maldonado, David R
Ortiz-Declet, Victor
Perets, Itay
Domb, Benjamin G
author_sort Chen, Austin W
collection PubMed
description Hip preservation is one of the fastest growing subspecialties in orthopaedic surgery. Surgical training recommendations and guidelines in this field are lacking. To survey high volume hip preservation surgeons regarding their perspectives on the current and future training of surgeons entering their field, a cross-sectional survey of 16 high-volume hip preservation surgeons was conducted to gather perspectives and opinions on the most appropriate education of future hip preservation surgeons. All participants completed the survey in person and anonymously. Of the surveyed surgeons, the mean career hip preservation volume was 1031.25 cases (250 to >3000) with an average annual volume of 162.08 cases (75–400). The average number of hip arthroscopy cases necessary to competently perform joint access is 19, labral repair is 34, acetabuloplasty/femoroplasty are 54, labral reconstruction is 101 and capsular closure/plication is 53. Fifty-six percent of the surgeons believe mid-career surgeons who have never performed hip preservation surgery should not adopt it as part of their practice. The mean optimal number of cases recommended was 128 hip arthroscopies during a dedicated hip preservation fellowship and 67 hip arthroscopies during a sports medicine fellowship. Surgeons with an interest in hip preservation careers, should strongly consider a 12-month dedicated hip preservation fellowship that provides exposure to at least 128 cases, including open and arthroscopic techniques, hip arthroplasty, and research opportunities. Mid-career surgeons should be cautious about adopting hip preservation into their practice if they have not had prior adequate training.
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spelling pubmed-62066892018-11-02 The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons Chen, Austin W Steffes, Matthew J Laseter, Joseph R Maldonado, David R Ortiz-Declet, Victor Perets, Itay Domb, Benjamin G J Hip Preserv Surg Research Articles Hip preservation is one of the fastest growing subspecialties in orthopaedic surgery. Surgical training recommendations and guidelines in this field are lacking. To survey high volume hip preservation surgeons regarding their perspectives on the current and future training of surgeons entering their field, a cross-sectional survey of 16 high-volume hip preservation surgeons was conducted to gather perspectives and opinions on the most appropriate education of future hip preservation surgeons. All participants completed the survey in person and anonymously. Of the surveyed surgeons, the mean career hip preservation volume was 1031.25 cases (250 to >3000) with an average annual volume of 162.08 cases (75–400). The average number of hip arthroscopy cases necessary to competently perform joint access is 19, labral repair is 34, acetabuloplasty/femoroplasty are 54, labral reconstruction is 101 and capsular closure/plication is 53. Fifty-six percent of the surgeons believe mid-career surgeons who have never performed hip preservation surgery should not adopt it as part of their practice. The mean optimal number of cases recommended was 128 hip arthroscopies during a dedicated hip preservation fellowship and 67 hip arthroscopies during a sports medicine fellowship. Surgeons with an interest in hip preservation careers, should strongly consider a 12-month dedicated hip preservation fellowship that provides exposure to at least 128 cases, including open and arthroscopic techniques, hip arthroplasty, and research opportunities. Mid-career surgeons should be cautious about adopting hip preservation into their practice if they have not had prior adequate training. Oxford University Press 2018-10-25 /pmc/articles/PMC6206689/ /pubmed/30393559 http://dx.doi.org/10.1093/jhps/hny032 Text en © The Author(s) 2018. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Research Articles
Chen, Austin W
Steffes, Matthew J
Laseter, Joseph R
Maldonado, David R
Ortiz-Declet, Victor
Perets, Itay
Domb, Benjamin G
The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons
title The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons
title_full The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons
title_fullStr The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons
title_full_unstemmed The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons
title_short The education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons
title_sort education and training of future hip preservation surgeons: aggregate recommendations of high-volume surgeons
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206689/
https://www.ncbi.nlm.nih.gov/pubmed/30393559
http://dx.doi.org/10.1093/jhps/hny032
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