Is the outcome affected when anterior cruciate ligament reconstruction (ACLR) is done by a supervised trainee?
Refereed conference paper presented and published in conference proceedings
CUHK Authors
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AbstractThis retrospective cohort study aimed to investigate whether the outcomes of anterior cruciate ligament reconstruction (ACLR) are compromised when performed by a supervised trainee compared to a fellowship-trained orthopedic specialist. The study included 1635 primary ACLRs performed between January 2013 and January 2023 at a university-affiliated tertiary care institution, with 1410 performed by specialists and 225 by trainees under supervision. Perioperative characteristics, in-hospital outcomes, and mid to long-term outcomes were compared between the two groups.
The study found that operation duration was significantly longer in the trainee group (105 vs 77 mins, p<0.001) but the median length of stay was similar for both groups. There were no significant differences in early outcomes, including pain levels and range of motion. However, patients operated by specialists had a significantly higher percentage of returning to play (92.6% vs 84.5%, p=0.005) and a lower percentage of instability symptoms at last follow-up (2.5% vs 5.4%, p=0.033) than patients operated by trainees. There were no significant differences in re-rupture rates between the two groups (12.1% for specialists vs 16.3% for trainees, p=0.116) and objective assessment of knee stability by the Lachman test did not reveal any significant differences (p=0.124).
This study demonstrated that ACLR performed by a supervised trainee did not compromise patient safety and functional outcomes, but had longer operative times
The study found that operation duration was significantly longer in the trainee group (105 vs 77 mins, p<0.001) but the median length of stay was similar for both groups. There were no significant differences in early outcomes, including pain levels and range of motion. However, patients operated by specialists had a significantly higher percentage of returning to play (92.6% vs 84.5%, p=0.005) and a lower percentage of instability symptoms at last follow-up (2.5% vs 5.4%, p=0.033) than patients operated by trainees. There were no significant differences in re-rupture rates between the two groups (12.1% for specialists vs 16.3% for trainees, p=0.116) and objective assessment of knee stability by the Lachman test did not reveal any significant differences (p=0.124).
This study demonstrated that ACLR performed by a supervised trainee did not compromise patient safety and functional outcomes, but had longer operative times
All Author(s) ListJames Hong Yin Woo, Florence Ou Suet Pang, Dennis Hei Yin Lee, Simon Ho Yin Tsui, Thomas Chun Hei Lo, Kumar Anubrat, Jack Wai Wang Chau, Jonathan Patrick Ng, Michael Tim Yun Ong, Patrick Shu Hang Yung
Name of ConferenceThe HKOA 43rd Annual Congress of The Hong Kong Orthopaedic Association
Start Date of Conference04/11/2023
End Date of Conference05/11/2023
Place of ConferenceHong Kong
Country/Region of ConferenceHong Kong
Year2023
Month11
PublisherHong Kong Academy of Medicine Press
Place of PublicationHong Kong
Pages70 - 70
LanguagesEnglish-United States
