Resident participation does not affect outcomes or complications after arthroscopic Bankart repair surgery

IF 5 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2025-07-18 DOI:10.1002/ksa.12782

Alex Quok An Teo, Hoi Pong Nicholas Wong, Sherlyn Yen Yu Tham, Fucai Han, Zavier Yongxuan Lim, Qai Ven Yap, Veerasingam Prem Kumar

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引用次数: 0

Abstract

Purpose

We performed a retrospective cohort study to assess the impact of resident participation on Bankart repair surgical outcomes over a 2-year mean follow-up period, by comparing clinical and patient-reported outcomes (PROs) between surgeries primarily performed by residents in training and those primarily performed by fellowship-trained attending shoulder surgeons. We hypothesised that there would be no difference in outcomes between the two groups.

Methods

All consecutive patients who underwent primary arthroscopic Bankart repair surgery for shoulder instability over a 4-year window in our institution were included. They were divided into two cohorts depending on whether they were performed primarily (>75% of the cases) by residents or attending surgeons. Standard preoperative, intraoperative and post-operative follow-up clinical (rates of recurrent instability and revision surgery) and PRO (Constant–Murley Score, American Shoulder and Elbow Surgeons, Short Form Health Survey-36 and visual analogue scale) data were collected. Data were collected manually and analysed using logistic regression and linear mixed model analysis.

Results

Three hundred twenty patients met the inclusion criteria and were enroled into the present study. The mean age was 25.08 ± 8.43, with 290 males (90.6%). One hundred fifty-three cases (47%) were performed primarily by residents. Operative times were similar with no significant difference (p = 0.08). Both cohorts demonstrated significant improvements in both shoulder-specific and global outcomes post-operatively. The stability sub-score of the ASES score was lower in the residents group by a mean of 0.31 points (p = 0.027). All the other PROs were not significantly different between the two cohorts. The rate of recurrence was also low, with no significant difference between the two cohorts (5.9% vs 4.8%, p = 0.903).

Conclusion

We found that resident involvement in arthroscopic Bankart repair as primary surgeons did not adversely affect recurrence and revision surgery rates as well as PRO measures at 2 years post-operatively, provided they were adequately supervised by attending surgeons.

Level of Evidence

Level III.

Abstract Image

查看原文本刊更多论文

住院医师的参与不影响关节镜Bankart修复手术后的结果或并发症。

目的：我们进行了一项回顾性队列研究，通过比较主要由住院医师培训和主要由奖学金培训的主治肩部外科医生进行的手术的临床和患者报告结果（PROs），评估住院医师参与对Bankart修复手术结果的影响，平均随访2年。我们假设两组之间的结果没有差异。方法：所有在我院连续4年接受原发性关节镜Bankart肩关节不稳修复手术的患者均被纳入研究。根据主要是由住院医生还是主治医生（约75%的病例）进行手术，他们被分为两组。收集标准的术前、术中和术后随访临床（复发不稳定性和翻修手术的发生率）和PRO （Constant-Murley评分、美国肩关节外科医生、简短健康调查-36和视觉模拟量表）数据。人工收集数据，并使用逻辑回归和线性混合模型分析进行分析。结果：320例患者符合纳入标准，纳入本研究。平均年龄25.08±8.43岁，男性290例（90.6%）。153例（47%）主要由住院医师完成。手术时间相似，差异无统计学意义（p = 0.08）。两组患者术后肩部特异性和整体预后均有显著改善。as评分的稳定性分值在居民组平均低0.31分（p = 0.027）。其他所有的PROs在两组间无显著差异。复发率也较低，两组间无显著差异（5.9% vs 4.8%, p = 0.903）。结论：我们发现住院医生作为主要外科医生参与关节镜Bankart修复不会对术后2年的复发率和翻修手术率以及PRO测量产生不利影响，只要他们得到主治外科医生的充分监督。证据等级：三级。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).