Surgeon-Specific Traction Time During Hip Arthroscopy for Primary Labral Repair Can Continue to Decrease After a Substantial Number of Surgeries
Authors: Meghpara MB, Diulus SC, Haden M, Kyin C, Shapira J, Rosinsky PJ, Maldonado DR, Ankem HK, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2021.05.059
Background
Prolonged traction time during hip arthroscopy may increase complication risks and affect surgical efficiency. This study evaluates how surgeon experience correlates with reductions in traction time.
Methods
Analyzed traction times in 2,350 hip arthroscopies for primary labral repair, assessing trends as surgeons accrued experience.
Key Findings
- Significant decreases in total traction time were observed after ~374 surgeries.
- Traction time per anchor decreased markedly after ~487 surgeries.
Conclusions
Surgeon experience correlates with more efficient hip arthroscopy, reflected by shorter traction times, which may translate to improved patient outcomes.
What Does This Mean for Providers?
- Surgical proficiency improves with volume; targeted experience can reduce traction time.
- Reduced traction time may lower complications and improve recovery.
- Encourage mentorship and continuous practice to achieve technical efficiency.
- When feasible, refer complex cases to high-volume surgeons to optimize outcomes.