Mittelmeier Wolfram, Osmanski-Zenk Katrin
Orthopädische Klinik und Poliklinik, Universitätsmedizin Rostock, Doberaner Str. 142, 18057, Rostock, Deutschland.
Orthopadie (Heidelb). 2022 Aug;51(8):631-637. doi: 10.1007/s00132-022-04275-0. Epub 2022 Jun 23.
The results of many studies and register reports show that the frequency of primary hip arthroplasty per hospital, but also per surgeon, influence the outcome. In the large spectrum of revision hip arthroplasty volume-outcome effects have also partially been proven. It is obvious that with the increasing complexity of revision surgery and comorbidities, higher demands exist concerning collaborating disciplines as well as training and intervention frequency of the surgical team. Further aspects regarding organisation and structure such as the availability of specific revision implants and instruments must be ensured. In order to provide sustainable resources for revision surgery in an arthroplasty centre, organization of education and training for staff members in different disciplines and working levels must be ensured without quality impairment.
许多研究和登记报告的结果表明,每家医院以及每位外科医生的初次髋关节置换术频率都会影响手术结果。在大量的翻修髋关节置换术中,手术量与结果之间的影响也已部分得到证实。显然,随着翻修手术复杂性和合并症的增加,对协作学科以及手术团队的培训和干预频率有更高的要求。必须确保在组织和结构等其他方面,如特定翻修植入物和器械的可用性。为了在关节置换中心为翻修手术提供可持续的资源,必须确保对不同学科和工作层面的工作人员进行教育和培训,且不影响质量。