What are the most difficult steps in total hip arthroplasty for early-career surgeons and how can future technology help most? A survey of the American Association of Hip and Knee Surgeons Young Arthroplasty Group

Autor: Ken Tashiro, Yasuhiro Homma, Jesse Wolfstadt, Christopher M. Melnic, Muneaki Ishijima, Atul F. Kamath
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Joint Surgery and Research, Vol 2, Iss 4, Pp 157-162 (2024)
Druh dokumentu: article
ISSN: 2949-7051
DOI: 10.1016/j.jjoisr.2024.09.002
Popis: Purpose: While technology in total hip arthroplasty (THA) is generally developed by experienced surgeons, particular difficulties in surgical steps and technical demands experienced by early-career surgeons remain important. This study investigated the challenges early-career surgeons currently face in THA in order to obtain insights into how they perceive future innovative technologies might reduce the difficulties and complications associated with THA. Methods: Members of the American Association of Hip and Knee Surgeons Young Arthroplasty Group were surveyed. The perceived degree of difficulty with key THA surgical steps and the utility of adjunctive technology were recorded (scale 1–10, from no difficulty/not important to very difficult/very important). Results: The membership response rate was 16.1%. The most common THA approach was the direct anterior approach (DAA) (67.4%). Four of the top five most difficult surgical steps were associated with cup preparation/placement. Fluoroscopy was the most used technology (56.7%), followed by no technology use (21.2%) and robot arm assistance (12.1%). With respect to the importance of technology, accurate cup placement ranked first. Dislocation and stem subsidence were the top two complications for which technological advances were thought to be most beneficial. Subgroup analysis based on surgical approach suggested that DAA users had significantly more difficulty with direction of stem rasping than non-DAA users (p ​
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