Cargando…

Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons?

Background: As the demand for total joint arthroplasties (TJA) increases steadily, so does the pressure to train future surgeons and, at the same time, achieve optimal outcomes. We aimed to identify differences in operative times and short-term surgical outcomes of TJAs performed by co-surgeons vers...

Descripción completa

Detalles Bibliográficos
Autores principales: Frenkel Rutenberg, Tal, Vitenberg, Maria, Daglan, Efrat, Kadar, Assaf, Shemesh, Shai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604737/
https://www.ncbi.nlm.nih.gov/pubmed/36294821
http://dx.doi.org/10.3390/jpm12101683
_version_ 1784817889987002368
author Frenkel Rutenberg, Tal
Vitenberg, Maria
Daglan, Efrat
Kadar, Assaf
Shemesh, Shai
author_facet Frenkel Rutenberg, Tal
Vitenberg, Maria
Daglan, Efrat
Kadar, Assaf
Shemesh, Shai
author_sort Frenkel Rutenberg, Tal
collection PubMed
description Background: As the demand for total joint arthroplasties (TJA) increases steadily, so does the pressure to train future surgeons and, at the same time, achieve optimal outcomes. We aimed to identify differences in operative times and short-term surgical outcomes of TJAs performed by co-surgeons versus a single attending surgeon. Methods: A retrospective analysis of 597 TJAs, including 239 total hip arthroplasties (THAs) and 358 total knee arthroplasties (TKAs) was conducted. All operations were performed by one of four fellowship-trained attending surgeons as the primary surgeon. The assisting surgeons were either attendings or residents. Results: In 51% of THA and in 38% of TKA, two attending surgeons were scrubbed in. An additional scrubbed-in attending was not found to be beneficial in terms of surgical time reduction or need for revision surgeries within the postoperative year. This was also true for THAs and for TKAs separately. An attending co-surgeon was associated with a longer hospital stay (p = 0.028). Surgeries performed by fewer surgeons were associated with a shorter surgical time (p = 0.036) and an increased need for blood transfusion (p = 0.033). Neither the rate of intraoperative complications nor revisions differed between groups, regardless of the number of attending surgeons scrubbed in or the total number of surgeons. Conclusion: A surgical team comprised of more than a single attending surgeon in TJAs was not found to reduce surgical time, while the participation of residents was not related with worse patient outcomes.
format Online
Article
Text
id pubmed-9604737
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96047372022-10-27 Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons? Frenkel Rutenberg, Tal Vitenberg, Maria Daglan, Efrat Kadar, Assaf Shemesh, Shai J Pers Med Article Background: As the demand for total joint arthroplasties (TJA) increases steadily, so does the pressure to train future surgeons and, at the same time, achieve optimal outcomes. We aimed to identify differences in operative times and short-term surgical outcomes of TJAs performed by co-surgeons versus a single attending surgeon. Methods: A retrospective analysis of 597 TJAs, including 239 total hip arthroplasties (THAs) and 358 total knee arthroplasties (TKAs) was conducted. All operations were performed by one of four fellowship-trained attending surgeons as the primary surgeon. The assisting surgeons were either attendings or residents. Results: In 51% of THA and in 38% of TKA, two attending surgeons were scrubbed in. An additional scrubbed-in attending was not found to be beneficial in terms of surgical time reduction or need for revision surgeries within the postoperative year. This was also true for THAs and for TKAs separately. An attending co-surgeon was associated with a longer hospital stay (p = 0.028). Surgeries performed by fewer surgeons were associated with a shorter surgical time (p = 0.036) and an increased need for blood transfusion (p = 0.033). Neither the rate of intraoperative complications nor revisions differed between groups, regardless of the number of attending surgeons scrubbed in or the total number of surgeons. Conclusion: A surgical team comprised of more than a single attending surgeon in TJAs was not found to reduce surgical time, while the participation of residents was not related with worse patient outcomes. MDPI 2022-10-09 /pmc/articles/PMC9604737/ /pubmed/36294821 http://dx.doi.org/10.3390/jpm12101683 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Frenkel Rutenberg, Tal
Vitenberg, Maria
Daglan, Efrat
Kadar, Assaf
Shemesh, Shai
Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons?
title Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons?
title_full Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons?
title_fullStr Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons?
title_full_unstemmed Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons?
title_short Single Surgeon versus Co-Surgeons in Primary Total Joint Arthroplasty: Does “Two Is Better than One” Apply to Surgeons?
title_sort single surgeon versus co-surgeons in primary total joint arthroplasty: does “two is better than one” apply to surgeons?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9604737/
https://www.ncbi.nlm.nih.gov/pubmed/36294821
http://dx.doi.org/10.3390/jpm12101683
work_keys_str_mv AT frenkelrutenbergtal singlesurgeonversuscosurgeonsinprimarytotaljointarthroplastydoestwoisbetterthanoneapplytosurgeons
AT vitenbergmaria singlesurgeonversuscosurgeonsinprimarytotaljointarthroplastydoestwoisbetterthanoneapplytosurgeons
AT daglanefrat singlesurgeonversuscosurgeonsinprimarytotaljointarthroplastydoestwoisbetterthanoneapplytosurgeons
AT kadarassaf singlesurgeonversuscosurgeonsinprimarytotaljointarthroplastydoestwoisbetterthanoneapplytosurgeons
AT shemeshshai singlesurgeonversuscosurgeonsinprimarytotaljointarthroplastydoestwoisbetterthanoneapplytosurgeons