Advances in Orthopedics最新文献

{"title":"Delayed Presentation of Patients with Hip Fractures during the COVID-19 \"Stay-at-Home\" Order in the Southmost Region of the United States.","authors":"Michael Serra-Torres,&nbsp;Raul Barreda,&nbsp;David Weaver,&nbsp;Annelyn Torres-Reveron","doi":"10.1155/2021/8822004","DOIUrl":"https://doi.org/10.1155/2021/8822004","url":null,"abstract":"<p><p>To evaluate the effects of COVID-19 and stay-at-home orders in traumatic hip fractures presentation, we conducted a retrospective chart review cohort study from March 13 to June 13 in 2020 compared to 2019 from a single-hospital Trauma Level 2 Center. Males and females, 18 years of age and older presenting with a diagnosis of displaced or nondisplaced, intracapsular, or extracapsular hip fracture, underwent standard of care-comparative analysis of the patient's characteristics and clinical outcomes. The primary study outcomes included age, sex, ethnicity, and body mass index, the onset of injury, date of arrival, payer, the primary type of injury and comorbidities, mechanism of injury, treatment received, postoperative complications, days in an intensive care unit (ICU), discharge disposition, pre- and postinjury functional status, and COVID-19 test. Age, sex, ethnicity, and body mass index were similar in the patients in 2019 compared to 2020. The patients' average age was 76 years old, 80% reported Hispanic ethnicity, and 63% of the patients were females. Most injuries (90%) occurred due to falls. On average, patients in 2020 presented 4.8 days after the injury onset as compared to 0.7 days in 2019 (<i>p</i> < 0.05). There was an increase in displaced fractures in 2019 compared to 2020 and an increase in patients' disposition into rehabilitation facilities compared to skilled nursing facilities. Despite the delay in presentation, length of stay, days in the ICU, or functional outcomes of the patients were not affected. Although the patients showed a delayed presentation after hip fracture, this does not appear to significantly interfere with the short-term or the 6-month mortality outcomes of the patients, suggesting the possibility of guided delayed care during times of national emergency and increased strain in hospital resources.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2021 ","pages":"8822004"},"PeriodicalIF":1.3,"publicationDate":"2021-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7902137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25414832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensory Disturbance of the Lower Extremity after Sural Artery Flap Elevation.","authors":"Kaoru Tada,&nbsp;Seigo Suganuma,&nbsp;Mika Nakada,&nbsp;Masashi Matsuta,&nbsp;Atsuro Murai,&nbsp;Hiroyuki Tsuchiya","doi":"10.1155/2021/8886063","DOIUrl":"https://doi.org/10.1155/2021/8886063","url":null,"abstract":"<p><strong>Purpose: </strong>Elevation of the sural artery flap with the sural nerve is associated with donor-site morbidities, such as postoperative sensory disturbance of the lower extremity. We evaluated the sensory disturbance of the lower extremity after elevation of the sural artery flap.</p><p><strong>Methods: </strong>This study included 7 patients who underwent surgery using the sural artery flap. The sensory disturbances immediately after surgery and at present were evaluated on a 10-point scale. The influences of surgery on activities of daily living and patient satisfaction were also evaluated.</p><p><strong>Results: </strong>The sensory disturbance was 4.48 immediately after surgery and 2.24 presently, and the difference between the timepoints was not statistically significant. The influence of surgery on activities of daily living was 2.30, and the patient satisfaction was 7.90.</p><p><strong>Conclusion: </strong>It may be necessary to consider the sural artery flap, which does not include the sural nerve, to avoid unnecessary complications. When it is unavoidable to use the sural artery flap, including the sural nerve, it is important to thoroughly inform patients beforehand about the postsurgery sensory disturbance in the lower extremities.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2021 ","pages":"8886063"},"PeriodicalIF":1.3,"publicationDate":"2021-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25408457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Safe Method for Early Rehabilitation of Articular Fracture at the Base of Thumb Metacarpal Bone.","authors":"Yunus Oc, Bekir Eray Kilinc, Ali Varol, Adnan Kara","doi":"10.1155/2021/6632211","DOIUrl":"10.1155/2021/6632211","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the clinical and radiological results of closed reduction, distraction using an external fixator, and percutaneous fixation in patients with Bennet and Rolando fractures.</p><p><strong>Methods: </strong>Patients over 18 years of age, who had isolated fracture at the base of the first metacarpal bone, had no previous functional limitations and pain complaints, were regularly followed up, and had fixation using K-wire combined with an external fixator, were included. Arthrosis was evaluated according to Eaton and Littler classification. Pain intensity was evaluated using the visual analogue scale (VAS) on a 0-10 scale. Furthermore, patients were questioned regarding limitations in their daily activities and hobbies. Pinch and grasp strengths were evaluated.</p><p><strong>Results: </strong>Thirteen of the patients were male and five were female, with a mean age of 31.5 ± 12.5 years. The surgical procedure was performed on the right extremity in 12 patients and left extremity in six patients. Twelve patients were found to have Bennet fractures, whereas six patients had Rolando fractures. The mean follow-up period of the patients was found to be 29.6 ± 5.4 months. The VAS score was rated as 2 in one patient and 1 in one patient. Other patients had a pain VAS score of 0. The mean Quick-DASH score was calculated to be 1.20. No statistical difference was found in pinch strength between the two extremities (<i>p</i> > 0.05). No difference was observed in terms of the range of motion (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Fixation using K-wire combined with an external fixator has more benefits than its disadvantages and is superior to other methods in the intra-articular fractures of the first metacarpal bone.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2021 ","pages":"6632211"},"PeriodicalIF":1.3,"publicationDate":"2021-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7884176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25408456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Treatment of Severe Idiopathic Flexible Flatfoot by Evans-Mosca Technique in Adolescent Patients: A Long-Term Follow-Up Study.","authors":"Vincenzo De Luna,&nbsp;Fernando De Maio,&nbsp;Alessandro Caterini,&nbsp;Martina Marsiolo,&nbsp;Lidio Petrungaro,&nbsp;Ernesto Ippolito,&nbsp;Pasquale Farsetti","doi":"10.1155/2021/8843091","DOIUrl":"https://doi.org/10.1155/2021/8843091","url":null,"abstract":"<p><p>Flexible idiopathic flatfoot is very common in growing age and rarely causes pain or disability. Surgery is indicated only in severe symptomatic cases that are resistant to conservative treatment, and numerous surgical procedures have been proposed. Lateral column calcaneal lengthening as described by Evans and modified by Mosca is a widely used surgical technique for the correction of severe symptomatic flexible flatfoot. In the present study, we report the long-term clinical and radiographic results in 14 adolescent patients (mean age: 12.8 years) affected by severe symptomatic flexible flatfoot, surgically treated by Evans-Mosca procedure, for a total of 26 treated feet (12 cases bilateral and 2 unilateral). In all cases, surgery was indicated for the presence of significant symptoms resistant to nonsurgical management. Clinical evaluation was made according to the American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, the Foot and Ankle Disability Index (FADI) Score, and Yoo et al.'s criteria. Radiographic evaluation was made using anteroposterior and lateral weight-bearing radiographs of the feet to evaluate Meary's angle and Costa-Bertani's angle and to evaluate possible osteoarthritic changes in the midtarsal joints. At follow-up (mean: 7 years and 7 months), we observed a satisfactory result in all patients. The mean average score of the AOFAS Ankle-Hindfoot Scale improved from 60.03 points to 95.26; the mean FADI score improved from 71.41 to 97.44; and according to Yoo et al.'s criteria, the average clinical outcome score was 10.96. At radiographic examination, nonunion of the calcaneal osteotomy was never observed. Meary's angle improved from an average preoperative value of 25° to 1.38° at follow-up; Costa-Bertani's angle improved from an average preoperative value of 154.2° to 130.9° at follow-up. In no case, significant radiographic signs of midtarsal joint arthritis were observed. According to our results, we believe that Evans-Mosca technique is a valid option of surgical treatment for severe idiopathic flexible flatfoot and allows a satisfactory correction of the deformity with a low rate of complications.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2021 ","pages":"8843091"},"PeriodicalIF":1.3,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7840266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25333497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fractures around Trochanteric Nails: The \"Vergilius Classification System\".","authors":"Giuseppe Toro, Antimo Moretti, Daniele Ambrosio, Raffaele Pezzella, Annalisa De Cicco, Giovanni Landi, Nicola Tammaro, Pasquale Florio, Antonio Benedetto Cecere, Adriano Braile, Antonio Medici, Antonio Siano, Bruno Di Maggio, Giampiero Calabrò, Nicola Gagliardo, Ciro Di Fino, Gaetano Bruno, Achille Pellegrino, Giacomo Negri, Vincenzo Monaco, Michele Gison, Antonio Toro, Alfredo Schiavone Panni, Umberto Tarantino, Giovanni Iolascon","doi":"10.1155/2021/7532583","DOIUrl":"10.1155/2021/7532583","url":null,"abstract":"<p><strong>Introduction: </strong>The fractures that occurred around trochanteric nails (perinail fractures, PNFs) are becoming a huge challenge for the orthopaedic surgeon. Although presenting some specific critical issues (i.e., patients' outcomes and treatment strategies), these fractures are commonly described within peri-implant ones and their treatment was based on periprosthetic fracture recommendations. The knowledge gap about PNFs leads us to convene a research group with the aim to propose a specific classification system to guide the orthopaedic surgeon in the management of these fractures.</p><p><strong>Materials and methods: </strong>A steering committee, identified by two Italian associations of orthopaedic surgeons, conducted a comprehensive literature review on PNFs to identify the unmet needs about this topic. Subsequently, a panel of experts was involved in a consensus meeting proposing a specific classification system and formulated treatment statements for PNFs. <i>Results and Discussion</i>. The research group considered four PNF main characteristics for the classification proposal: (1) fracture localization, (2) fracture morphology, (3) fracture fragmentation, and (3) healing status of the previous fracture. An alphanumeric code was included to identify each characteristic, allowing to describe up to 54 categories of PNFs, using a 3- to 4-digit code. The proposal of the consensus-based classification reporting the most relevant aspects for PNF treatment might be a useful tool to guide the orthopaedic surgeon in the appropriate management of these fractures.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2021 ","pages":"7532583"},"PeriodicalIF":1.2,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25316017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swiss Orthopaedics Minimal Dataset: First Pilot Report of Reliability and Validity","authors":"T. Jentzsch, C. Dora, U. Müller, M. Farshad","doi":"10.1155/2020/6673175","DOIUrl":"https://doi.org/10.1155/2020/6673175","url":null,"abstract":"Background. The Swiss Orthopaedics Minimal Dataset (SOMD) was launched seven years ago. It is a standardized, generic, and patient-reported outcome questionnaire, comprising ten items (location of disease, pain within the past four weeks, limitations at work/leisure/sleep/autonomy, subjective value of a body part, employment status, work disability (sick leave/pension), and household support). We conducted this study about the SOMD to report its reliability, validity, and clinical applicability. Methods. A retrospective observational cohort study was conducted. The test-retest study population (n = 60; lost to follow-up: n = 7 (12%)) was drawn from three retirement homes (in 2013), while the test study population (n = 14,180; excluded (e.g., duplicates): n = 1,990 (14%)) consisted of patients from a university hospital (in 2014–2017). In the test-retest study population, the same questionnaire was completed twice (at days 0 and 7). In the test study population, only the first questionnaire was included (to avoid duplicates). In a subgroup of the test study population (n = 302), only those patients who completed the SOMD and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) of the hip within 14 days were considered (to minimize recall bias). Reliability (test-retest and internal consistency), criterion validity for the item of pain, and return rates were analyzed. Results. The test-retest study population (n = 53) showed very high test-retest reliability for all tested items of the SOMD (intraclass correlation coefficient = 0.96–1.00 (95% confidence interval 0.93–1.00), ). The test study population (n = 12,190) revealed good internal consistency reliability for all ten items (Cronbach’s alpha = 0.80). The return rates of the SOMD were improvable (43% in 2016 and 31% in 2017). The subgroup of the test study population (n = 302) displayed a borderline acceptable criterion validity (correlation of the item of pain between SOMD and WOMAC hip: rho = 0.62, ). Conclusion. This is the first report about the validation of the SOMD. A relatively high reliability (test-retest and internal consistency), borderline acceptable (criterion) validity for the item of pain, and improvable clinical implementation were observed. This analysis serves as the basis for a structured modification of the SOMD to improve its value.","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2020 1","pages":"1-4"},"PeriodicalIF":1.3,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44044421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nerve Conduction Studies in Patients with Lumbosacral Radiculopathy Caused by Lumbar Intervertebral Disc Herniation","authors":"Safa Yousif, A. Ahmed, A. Abdelhai, A. Musa","doi":"10.1155/2020/8882387","DOIUrl":"https://doi.org/10.1155/2020/8882387","url":null,"abstract":"Background. Nerve conduction studies (NCS) are electrodiagnostic tests used to evaluate peripheral nerves functions and aid in the assessment of patients with neuromuscular complaints. There is contrasting evidence concerning the use of NCS in the assessment of patients with lumbosacral radiculopathy. Objectives. This study was conducted to evaluate nerve conduction studies abnormalities in patients with lumbosacral radiculopathy and to find out their relation to abnormal physical examination findings. Materials and Methods. Twenty-seven patients with lumbosacral radiculopathy caused by L4/5 or L5/S1 intervertebral disc prolapse confirmed by magnetic resonance imaging (MRI) were recruited in the study. Twenty-five healthy subjects matched in age and sex served as control. Motor nerve conduction study bilaterally for both common peroneal and tibial nerves, F-wave for both nerves, and H-reflex had been conducted. Results. No significant difference was found in the motor nerve conduction study parameters (latency, amplitude, and conduction velocity) between the patients group and the control group. There was significant prolongation in H-reflex latency of both symptomatic and asymptomatic side in the patients group compared to the control group (\u0000 \u0000 P\u0000 <\u0000 0.05\u0000 \u0000 ). Also, F-wave latencies (F minimum, F maximum, and F mean) of the tibial nerve were significantly prolonged (\u0000 \u0000 P\u0000 <\u0000 0.05\u0000 \u0000 ) compared to control. Conclusion. Prolonged H-reflex latency was the commonest encountered abnormality in our study followed by F-wave latencies of the tibial nerve.","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8882387","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43932182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical Assessment of Three Osteosynthesis Constructs by Periprosthetic Humerus Fractures.","authors":"Afif Harb,&nbsp;Bastian Welke,&nbsp;Emmanouil Liodakis,&nbsp;Sam Razaeian,&nbsp;Dafang Zhang,&nbsp;Christian Krettek,&nbsp;Christof Hurschler,&nbsp;Nael Hawi","doi":"10.1155/2020/8872419","DOIUrl":"https://doi.org/10.1155/2020/8872419","url":null,"abstract":"<p><strong>Background: </strong>Biomechanical stability assessment of 3 different constructs for proximal fixation of a locking compression plate (LCP) in treating a Worland type C periprosthetic fracture after total shoulder arthroplasty.</p><p><strong>Methods: </strong>27 Worland type C fractures after shoulder arthroplasty in synthetic humeri were treated with 14-hole LCP that is proximally fixed using the following: (1) 1 × 1.5 mm cerclage wires and 2x unicortical-locking screws, (2) 3 × 1.5 mm cerclage wires, or (3) 2x bicortical-locking attachment plates. Torsional stiffness was assessed by applying an internal rotation moment of 5 Nm and then after unloading the specimen, an external rotation moment of 5 Nm at the same rate was applied. Axial stiffness was assessed by applying a 50 N preload, and then applying a cyclic load of 250 N, then increasing the load by 50 N each time, until a maximum axial load of 2500 N was reached or specimen failure occurred.</p><p><strong>Results: </strong>With regard to internal as well as external rotational stiffness, group 1 showed a mean stiffness of 0.37 Nm/deg and 0.57 Nm/deg, respectively, group 2 had a mean stiffness of 0.51 Nm/deg and 0.39 Nm/deg, respectively, while group 3 had a mean stiffness of 1.34 Nm/deg and 1.31 Nm/deg, respectively. Concerning axial stiffness, group 1 showed an average stiffness of 451.0 N/mm, group 2 had a mean stiffness of 737.5 N/mm, whereas group 3 had a mean stiffness of 715.8 N/mm.</p><p><strong>Conclusion: </strong>Group 3 displayed a significantly higher torsional stiffness while a comparable axial stiffness to group 2.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2020 ","pages":"8872419"},"PeriodicalIF":1.3,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8872419","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38683853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New System for the Classification of Epiphyseal Separation of the Coracoid Process: Evaluation of Nine Cases and Review of the Literature.","authors":"Takamitsu Mondori,&nbsp;Yoshiyuki Nakagawa,&nbsp;Shimpei Kurata,&nbsp;Shuhei Fujii,&nbsp;Takuya Egawa,&nbsp;Kazuya Inoue,&nbsp;Yasuhito Tanaka","doi":"10.1155/2020/9749515","DOIUrl":"https://doi.org/10.1155/2020/9749515","url":null,"abstract":"<p><p><i>Objectives and Design</i>. Epiphyseal separation of the coracoid process (CP) rarely occurs in adolescents. In this retrospective case series, we reviewed the data of nine patients treated at our center and those of 28 patients reported in the literature. This injury can be classified into three types according to the injured area: Type I, base including the area above the glenoid; Type II, center including the coracoclavicular ligament (CCL); and Type III, tip with the short head of the biceps and coracobrachialis, as well as the pectoralis minor. <i>Patients/Participants</i>. A total of 37 patients were included in the analysis. Data on sex, age, cause and mechanism of injury, separation type, concomitant injury around the shoulder girdle, treatment, and functional outcomes were obtained. <i>Main Outcome Measurements and Results</i>. Type I is the most common type. The cause of injury and associated injury around the shoulder girdle were significantly different between Type I, II, and III fractures. The associated acromioclavicular (AC) dislocation and treatment were significantly different between Type I and III fractures. Our new classification system reflects the clinical features, imaging findings, and surgical management of epiphyseal separation of the CP. Type I and II fractures are mostly associated with AC dislocation and have an associated injury around the shoulder girdle. Type III fractures are typically caused by forceful resisted flexion of the arm and elbow. Although the latter are best managed surgically, whether conservative or surgical management is optimal for Type I and II fractures remains controversial. <i>Conclusions</i>. We noted some differences in the clinical characteristics depending on the location of injury; therefore, we aimed to examine these differences to develop a new system for classifying epiphyseal separation of the CP. This would increase the clinicians' awareness regarding this injury and lead to the development of an appropriate treatment.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2020 ","pages":"9749515"},"PeriodicalIF":1.3,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9749515","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38569395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Feedback on Surgeon Performance: A Narrative Review.","authors":"Kelsey A Rankin,&nbsp;Jordan Brand,&nbsp;Daniel H Wiznia","doi":"10.1155/2020/3746908","DOIUrl":"https://doi.org/10.1155/2020/3746908","url":null,"abstract":"<p><p>Surgeons play a critical role in the healthcare community and provide a service that can tremendously impact patients' livelihood. However, there are relatively few means for monitoring surgeons' performance quality and seeking improvement. Surgeon-level data provide an important metric for quality improvement and future training. A narrative review was conducted to analyze the utility of providing surgeons direct feedback on their individual performance. The articles selected identified means of collecting surgeon-specific data, suggested ways to report this information, identified pertinent gaps in the field, and concluded the results of giving feedback to surgeons. There is a relative sparsity of data pertaining to the effect of providing surgeons with information regarding their individual performance. However, the literature available does suggest that providing surgeons with individualized feedback can help make meaningful improvements in the quality of practice and can be done in a way that is safe for the surgeons' reputation.</p>","PeriodicalId":7358,"journal":{"name":"Advances in Orthopedics","volume":"2020 ","pages":"3746908"},"PeriodicalIF":1.3,"publicationDate":"2020-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/3746908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38554085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}