Knee Fellowships Improve Clinical Practice and Scientific Activity

Q3 Medicine
Riccardo D’Ambrosi M.D. , Andy Williams M.B., B.S., F.R.C.S. (Orth.). , Bertrand Sonnery-Cottet M.D., Ph.D. , Christian Fink M.D.
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Abstract

Purpose

To determine the benefits of completing a knee fellowship for orthopaedic surgeons specializing in the treatment of sports injuries.

Methods

An online survey was conducted to assess changes in clinical practice, and scientific activity in knee surgery, with special focus on the anterior cruciate ligament (ACL) before and after a knee fellowship.

Results

A total of 74 of 102 (72.54%) fellows completed the survey. The mean age of the respondents was 36.85 ± 5.0 years (range 28-47 years). Sixty-nine (93.24%) were male, and 5 were female (6.75%). Before the fellowship, only 6 (8.10%) surgeons had performed more than 50 ACL surgeries yearly as the first operator, whereas more than 60% (46) had performed fewer than 10 ACL surgeries; after the fellowship, more than 50% (41) of the surgeons performed more than 50 ACL surgeries yearly as the first operator (P < .001). Before the fellowship, 57 (77.02%) surgeons did not perform anterolateral procedures or performed in less than 20% of their cases, whereas after the fellowship, almost 40% (31) performed anterolateral procedures in most of their cases (P < .001). A significant increase was also noted in the number of publications developed during the fellowship and conference presentations given between the period before and after the fellowship (P < .001). More than 90% (70%-94.59%) answered that they would do the fellowship again.

Conclusions

Knee fellowships in highly specialized centers improve surgical activity in terms of surgical procedures and scientific production; furthermore, almost all the fellows reported that they would pursue such a fellowship again.

Clinical Relevance

The results of this study may provide fellowship directors with important feedback about the strengths and weaknesses of the experience from participants.
膝关节奖学金改善临床实践和科学活动
目的确定完成膝关节研究项目对专门治疗运动损伤的骨科医生的益处。方法通过一项在线调查来评估膝关节手术的临床实践和科学活动的变化,特别关注膝关节fellowship前后前交叉韧带(ACL)的变化。结果102名患者中有74人(72.54%)完成调查。受访者平均年龄36.85±5.0岁(28 ~ 47岁)。男性69例(93.24%),女性5例(6.75%)。在此之前,只有6名(8.10%)外科医生作为第一术者每年进行超过50例ACL手术,而超过60%(46)的外科医生每年进行少于10例ACL手术;实习结束后,超过50%(41)的外科医生作为第一手术者每年进行超过50例ACL手术(P <;措施)。在合作前,57名(77.02%)外科医生不进行前外侧手术,或在不到20%的病例中进行手术,而在合作后,近40%(31)的医生在大多数病例中进行了前外侧手术(P <;措施)。在研究金期间出版的出版物数量和研究金前后期间发表的会议报告数量也显著增加(P <;措施)。超过90%(70% ~ 94.59%)的人回答说会再次参加。结论在高度专业化的中心,nee奖学金在手术程序和科学生产方面提高了手术活动;此外,几乎所有的研究员都报告说,他们将再次追求这样的奖学金。临床相关性本研究的结果可能会为研究员主任提供重要的反馈,了解参与者的经验优势和劣势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
218
审稿时长
45 weeks
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