Gaschen Paul D, Kraeutler Matthew J
Department of Orthopaedic Surgery & Rehabilitation, Texas Tech University Health Sciences Center, Lubbock, Texas, U.S.A.
Arthrosc Sports Med Rehabil. 2025 May 31;7(4):101196. doi: 10.1016/j.asmr.2025.101196. eCollection 2025 Aug.
Ensuring good clinical outcomes in orthopaedic surgery requires a structured, evidence-based approach to decision making. We suggest that the formula for ensuring these results involves 2 key components: proper patient selection and choosing the appropriate intervention. Proper patient selection involves identifying individuals with the greatest likelihood of success when considering known risk factors for poor outcomes. Choosing the appropriate intervention requires taking into account all patient factors and aligning patient-specific needs with established treatment indications. Surgeons are advised to avoid pitfalls such as choosing to operate on all-comers or expanding surgical indications beyond evidence-based thresholds. By integrating these 2 components, surgeons can enhance their decision-making process and maximize patient success.
Level V, expert opinion.
在骨科手术中确保良好的临床结果需要一种结构化的、基于证据的决策方法。我们认为确保这些结果的方法涉及两个关键要素：正确的患者选择和选择合适的干预措施。正确的患者选择包括在考虑已知的不良结果风险因素时识别最有可能成功的个体。选择合适的干预措施需要考虑所有患者因素，并使患者特定需求与既定的治疗指征相匹配。建议外科医生避免一些陷阱，例如选择对所有患者进行手术或超出基于证据的阈值扩大手术指征。通过整合这两个要素，外科医生可以改进他们的决策过程并使患者的成功率最大化。
V级，专家意见。
