Orthopedic Surgeons’ Accuracy When Orienting an Acetabular Cup. A Comparison with Untrained Individuals
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Participants
- Orthopedic surgeons (n = 36): The subjects from this group were recruited among the participants in the 2021 National Congress of the Spanish Hip Society (SECCA). They were all specialist hip surgeons or residents in training. To facilitate a segmented analysis, participants were categorized according to their professional status (resident, specialist or head of department) and experience (number of hip surgeries performed in one year).
- Volunteers with no medical training (n = 71): Subjects were recruited among the staff of a medical device distributing company (MBA SURGICAL EMPOWERMENT, Gijón, Spain), as performed by Silberberg et al. [37]. Anybody who, on account of their position, had previous training in the field of hip surgery was excluded from participating in the study.
2.2. Measurement System
2.3. Anatomical Model and Set-Up
2.4. Procedure and Tests Carried Out
- Case 1: inclination between 40 and 50 degrees, anteversion between 10 and 20 degrees.
- Case 2: inclination between 35 and 45 degrees; anteversion between 5 and 15 degrees.
- Case 3: inclination between 45 and 55 degrees; anteversion between 15 and 25 degrees.
2.5. Measurement Error
2.6. Statistical Analysis and Software Used
3. Results
3.1. Description of the Sample
3.2. Results of the test: Positioning of the Acetabular Cup according to the Proposed Parameters
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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N | % | |
---|---|---|
Group A—Orthopedic Surgeons | 36 | 33.6% |
Experience | ||
Resident | 4 | 11.1% |
0–25 total hip replacements a year | 3 | 8.3% |
25–50 total hip replacements a year | 2 | 5.6% |
50–100 total hip replacements a year | 9 | 25.0% |
More than 100 total hip replacements a year | 18 | 50.0% |
Position | ||
Resident | 4 | 11.1% |
Consultant | 25 | 69.4% |
Head of department | 7 | 19.4% |
Group B—Control | 71 | 66.4% |
Occupation | ||
Clerical work | 4 | 5.6% |
Warehousing | 14 | 19.7% |
Customer service | 11 | 15.5% |
Accounts | 11 | 15.5% |
Information technology | 8 | 11.3% |
Marketing | 8 | 11.3% |
Logistics | 8 | 11.3% |
Other | 7 | 9.9% |
Total | 107 | 100% |
Group A Surgeons | Group B Control | p-Value | |
---|---|---|---|
Mean age | 47.14 | 40.23 | 0.005 * |
Sex | |||
Males | 30 (83.3%) | 40 (56.3%) | 0.006 * |
Females | 6 (16.7%) | 31 (43.7%) |
Group A Surgeons | Group B Control | p-Value | |
---|---|---|---|
Mean error—Inclination | 7.84 (±5.53) | 6.70 (±4.03) | 0.226 |
Mean error—Anteversion | 5.85 (±4.52) | 5.48 (±3.44) | 0.639 |
Total mean error—Inclination + anteversion | 13.69 (±7.76) | 12.18 (±5.32) | 0.298 |
Inclination Error | Anteversion Error | ||||
---|---|---|---|---|---|
N | Mean | p Value | Mean | p Value | |
Group A—Orthopedic surgeons | |||||
Experience-based classification (number of surgeries a year) | |||||
Less than 100 | 18 | 8.01 | 0.852 | 5.83 | 0.981 |
More than 100 | 18 | 7.67 | 5.87 | ||
Seniority-based classification | |||||
Resident | 4 | 9.00 | 0.879 | 6.67 | 0.854 |
Consultant | 25 | 7.84 | 5.93 | ||
Head of department | 7 | 7.19 | 5.10 |
Inclination Error | Anteversion Error | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Too Horizontal | Right Inclination | Too Vertical | Less Anteversion | Right Anteversion | More Anteversion | |||||||
N | % | N | % | N | % | N | % | N | % | N | % | |
Surgeons | 84 | 77.8 | 7 | 6.5 | 17 | 15.7 | 75 | 69.4 | 6 | 5.6 | 27 | 25.0 |
Control | 96 | 45.1 | 8 | 3.8 | 109 | 51.2 | 91 | 42.7 | 13 | 6.1 | 109 | 51.2 |
Mean Error (Degrees) | ||||
---|---|---|---|---|
N | One Angle | Inclination | Anteversion | |
Graham (2013) | 31 | 5.4 (±5.3) | - | - |
Duren (2020) | 18 | - | 6.4 (±4.4) | - |
Grammatopoulos (2016) | 21 | - | 5.0 (±10) | 5.0 (±15) |
Present study | 36 | - | 7.8 (±5.5) | 5.9 (±4.5) |
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Moreta, J.; Gayoso, Ó.; Donaire-Hoyas, D.; Roces-García, J.; Gómez-Vallejo, J.; Moya-Gómez, E.; Raya-Roldán, D.; Albert-Ullibarri, A.; Marqués-López, F.; Albareda, J. Orthopedic Surgeons’ Accuracy When Orienting an Acetabular Cup. A Comparison with Untrained Individuals. Medicina 2022, 58, 973. https://doi.org/10.3390/medicina58070973
Moreta J, Gayoso Ó, Donaire-Hoyas D, Roces-García J, Gómez-Vallejo J, Moya-Gómez E, Raya-Roldán D, Albert-Ullibarri A, Marqués-López F, Albareda J. Orthopedic Surgeons’ Accuracy When Orienting an Acetabular Cup. A Comparison with Untrained Individuals. Medicina. 2022; 58(7):973. https://doi.org/10.3390/medicina58070973
Chicago/Turabian StyleMoreta, Jesús, Óscar Gayoso, Daniel Donaire-Hoyas, Jorge Roces-García, Jesús Gómez-Vallejo, Esther Moya-Gómez, David Raya-Roldán, Alberto Albert-Ullibarri, Fernando Marqués-López, and Jorge Albareda. 2022. "Orthopedic Surgeons’ Accuracy When Orienting an Acetabular Cup. A Comparison with Untrained Individuals" Medicina 58, no. 7: 973. https://doi.org/10.3390/medicina58070973