Litigation in Cubital Tunnel Surgery.

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-09-03 DOI:10.1177/15589447251369033

Daniel Sculley, Wassim Mourad

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引用次数: 0

Abstract

Background: Medical malpractice is common, costly, and poorly understood within the U.S. health care system. Cubital tunnel release (CuTR) is the second most common nerve surgery and is prone to complication. Malpractice claims associated with carpal tunnel surgery, distal radius fractures, replantation, and the field as a whole have previously been studied. To date, there has been no study of litigation related to CuTR independently; the aim of this paper is to do so.

Methods: The Lexis+ (LexisNexis, New York, NY) legal database was queried for all cases relating to CuTR. Thirty-five cases were identified that were directly related to CuTR; these were amended with publicly available data on defendant specialty and training and statistically examined.

Results: Around 51% of cases favored the defendant, 37% favored the plaintiff, and 11% were resolved with a settlement. Median, maximum, and minimum award amounts were $415 484, $11 464 991, and $180 000, respectively. Awards significantly differed by claim type, with large awards for incorrect surgery ($1 007 500), negligent surgery ($389 969), and poor post-op care ($11 464 991). There were no significant differences in outcomes or award amounts by specialty type, hand surgery training, years of experience, or simultaneous surgeries; however, surgeons with hand training had lower median awards ($400 854 vs $430 114), and there were lower awards for simultaneous surgeries ($372 997 vs $445 047).

Conclusions: Cubital tunnel release appears to carry a higher liability than other procedures within hand surgery such as carpal tunnel release.

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肘管手术中的诉讼。

背景：医疗事故是常见的，昂贵的，并在美国卫生保健系统知之甚少。肘管松解术（CuTR）是第二常见的神经外科手术，且容易出现并发症。与腕管手术、桡骨远端骨折、再植以及整个腕管领域相关的医疗事故索赔已经被研究过。到目前为止，还没有对与CuTR相关的诉讼进行独立研究；本文的目的就是要做到这一点。方法：查询Lexis+ （LexisNexis, New York， NY）法律数据库中所有与cur相关的案例。确定了35例与cur直接相关的病例；这些都是根据被告专业和培训的公开数据进行修改，并进行统计检查。结果：大约51%的案件有利于被告，37%的案件有利于原告，11%的案件以和解方式解决。中位数、最高和最低赔偿金额分别为415 484美元、11 464 991美元和18万美元。赔偿金额因索赔类型而有显著差异，不正确手术赔偿金额较大（1 007 500美元），过失手术赔偿金额为389 969美元，术后护理不良赔偿金额为11 464 991美元。专科类型、手外科训练、经验年数或同时手术的结果或奖励金额无显著差异；然而，接受手部训练的外科医生获得的中位数奖励较低（400 854美元对430 114美元），同时进行手术的奖励较低（372 997美元对445 047美元）。结论：在手外科手术中，肘管松解术比腕管松解术等其他手术有更高的风险。

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

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.