PDF(Pubmed)
Abstract：
BACKGROUND: This study aimed to evaluate the influence of training background on the frequency and indications of elbow arthroplasty performed by early-career surgeons.
METHODS: A review of the American Board of Orthopaedic Surgery Part II Oral Examination Case List database from 2010 to 2021 was completed. The number of cases performed by surgeons from each individual training background were calculated and compared with the total number of surgeons who completed each fellowship during the study period.
RESULTS: Hand surgeons performed the most elbow arthroplasty cases (132, 44%), but a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty in comparison (15% vs. 7%). The mean number of TEA cases performed by shoulder/elbow surgeons was significantly higher than in other subspecialties (P < 0.01). However, when comparing only surgeons who performed elbow arthroplasty during the board collection period, there was no significant difference between training backgrounds (P = 0.20).
CONCLUSIONS: While hand surgeons performed the most elbow arthroplasty cases, a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty during the study period. The high prevalence of distal humerus fracture as an indication for arthroplasty reflected a shift in indications and was not related to training background.
METHODS: A review of the American Board of Orthopaedic Surgery Part II Oral Examination Case List database from 2010 to 2021 was completed. The number of cases performed by surgeons from each individual training background were calculated and compared with the total number of surgeons who completed each fellowship during the study period.
RESULTS: Hand surgeons performed the most elbow arthroplasty cases (132, 44%), but a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty in comparison (15% vs. 7%). The mean number of TEA cases performed by shoulder/elbow surgeons was significantly higher than in other subspecialties (P < 0.01). However, when comparing only surgeons who performed elbow arthroplasty during the board collection period, there was no significant difference between training backgrounds (P = 0.20).
CONCLUSIONS: While hand surgeons performed the most elbow arthroplasty cases, a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty during the study period. The high prevalence of distal humerus fracture as an indication for arthroplasty reflected a shift in indications and was not related to training background.
摘要：
背景：本研究旨在评估训练背景对早期职业外科医生进行肘关节成形术的频率和适应症的影响。
方法：完成了对2010年至2021年美国骨科外科委员会第二部分口腔检查病例列表数据库的审查。计算每个培训背景下外科医生的案例数，并与研究期间完成每个研究金的外科医生总数进行比较。
结果：手外科医师进行了大多数肘关节成形术（132，44％），但相比之下，肩部/肘部外科医生进行肘关节成形术的比例更高(15%与7%)。肩/肘外科医生进行TEA的平均例数显着高于其他亚专科（P<0.01）。然而,当仅比较在董事会收集期间进行肘关节成形术的外科医生时，训练背景之间没有显着差异（P=0.20）。
结论：虽然手外科医师进行肘关节置换的病例最多，在研究期间,较高比例的肩/肘外科医生进行肘关节成形术.肱骨远端骨折作为关节成形术指征的高患病率反映了适应症的转变，与训练背景无关。
方法：完成了对2010年至2021年美国骨科外科委员会第二部分口腔检查病例列表数据库的审查。计算每个培训背景下外科医生的案例数，并与研究期间完成每个研究金的外科医生总数进行比较。
结果：手外科医师进行了大多数肘关节成形术（132，44％），但相比之下，肩部/肘部外科医生进行肘关节成形术的比例更高(15%与7%)。肩/肘外科医生进行TEA的平均例数显着高于其他亚专科（P<0.01）。然而,当仅比较在董事会收集期间进行肘关节成形术的外科医生时，训练背景之间没有显着差异（P=0.20）。
结论：虽然手外科医师进行肘关节置换的病例最多，在研究期间,较高比例的肩/肘外科医生进行肘关节成形术.肱骨远端骨折作为关节成形术指征的高患病率反映了适应症的转变，与训练背景无关。
