2 research outputs found
The epidemiology of reoperations for orthopaedic trauma.
Introduction: The Royal College of Surgeons of England (RCS) has issued guidance regarding the use of reoperation rates in the revalidation of UK-based orthopaedic surgeons. Currently, little has been published concerning acceptable rates of reoperation following primary surgical management of orthopaedic trauma, particularly with reference to revalidation. / Methods: A retrospective review was conducted of patients undergoing clearly defined reoperations following primary surgical management of trauma between 1 January 2010 and 31 December 2011. A full case note review was undertaken to establish the demographics, clinical course and context of reoperation. A review of the imaging was performed to establish whether the procedure performed was in line with accepted trauma practice and whether the technical execution was acceptable. / Results: A total of 3,688 patients underwent primary procedures within the time period studied while 70 (1.90%, 99% CI: 1.39β2.55) required an unplanned reoperation. Thirty-nine (56%) of these patients were male. The mean age of patients was 56 years (range: 18β98 years) and there was a median time to reoperation of 50 days (IQR: 13β154 days). Potentially avoidable reoperations occurred in 41 patients (58.6%, 99% CI: 43.2β72.6). This was largely due to technical errors (40 patients, 57.1%, 99% CI: 41.8β71.3), representing 1.11% (99% CI: 0.73β1.64) of the total trauma workload. Within RCS guidelines, 28-day reoperation rates for hip, wrist and ankle fractures were 1.4% (99% CI: 0.5β3.3), 3.5% (99% CI: 0.8%β12.1) and 1.86% (99% CI: 0.4β6.6) respectively. / Conclusions:
We present novel work that has established baseline reoperation rates for index procedures required for revalidation of orthopaedic surgeons