D'Ambrosi Riccardo, Williams Andy, Sonnery-Cottet Bertrand, Fink Christian
IRCCS Ospedale Galeazzi - Sant'Ambrogio, Milan, Italy.
Università degli Studi di Milano, Dipartimento di Scienze Biomediche per la Salute, Milan, Italy.
Arthrosc Sports Med Rehabil. 2025 Jan 29;7(3):101100. doi: 10.1016/j.asmr.2025.101100. eCollection 2025 Jun.
To determine the benefits of completing a knee fellowship for orthopaedic surgeons specializing in the treatment of sports injuries.
An online survey was conducted to assess changes in clinical practice, and scientific activity in knee surgery, with special focus on the anterior cruciate ligament (ACL) before and after a knee fellowship.
A total of 74 of 102 (72.54%) fellows completed the survey. The mean age of the respondents was 36.85 ± 5.0 years (range 28-47 years). Sixty-nine (93.24%) were male, and 5 were female (6.75%). Before the fellowship, only 6 (8.10%) surgeons had performed more than 50 ACL surgeries yearly as the first operator, whereas more than 60% (46) had performed fewer than 10 ACL surgeries; after the fellowship, more than 50% (41) of the surgeons performed more than 50 ACL surgeries yearly as the first operator ( < .001). Before the fellowship, 57 (77.02%) surgeons did not perform anterolateral procedures or performed in less than 20% of their cases, whereas after the fellowship, almost 40% (31) performed anterolateral procedures in most of their cases ( < .001). A significant increase was also noted in the number of publications developed during the fellowship and conference presentations given between the period before and after the fellowship ( < .001). More than 90% (70%-94.59%) answered that they would do the fellowship again.
Knee fellowships in highly specialized centers improve surgical activity in terms of surgical procedures and scientific production; furthermore, almost all the fellows reported that they would pursue such a fellowship again.
The results of this study may provide fellowship directors with important feedback about the strengths and weaknesses of the experience from participants.
确定完成膝关节专科培训对专注于运动损伤治疗的骨科医生的益处。
开展一项在线调查，以评估膝关节专科培训前后临床实践的变化以及膝关节手术的科研活动，特别关注前交叉韧带（ACL）。
102名学员中有74名（72.54%）完成了调查。受访者的平均年龄为36.85±5.0岁（范围28 - 47岁）。69名（93.24%）为男性，5名（6.75%）为女性。在专科培训前，只有6名（8.10%）外科医生作为第一术者每年进行超过50例ACL手术，而超过60%（46名）医生每年进行的ACL手术少于10例；专科培训后，超过50%（41名）的外科医生作为第一术者每年进行超过50例ACL手术（P <.001）。在专科培训前，57名（77.02%）外科医生不进行前外侧手术或在不到20%的病例中进行该手术，而专科培训后，近40%（31名）医生在大多数病例中进行前外侧手术（P <.001）。在专科培训期间发表的论文数量以及专科培训前后期间的会议报告数量也显著增加（P <.001）。超过90%（70% - 94.59%）的人回答他们会再次参加专科培训。
在高度专业化中心进行的膝关节专科培训在手术操作和科研成果方面改善了手术活动；此外，几乎所有学员都报告他们会再次参加这样的专科培训。
本研究结果可为专科培训负责人提供有关参与者经验优缺点的重要反馈。
