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To determine whether specialty training or high volume of operative experience is associated with better clinical outcome and quality-of-life scores.
Primary total knee replacements are becoming a commonly performed procedure. Many general orthopaedists can perform large numbers of such surgeries. Thus, we aim to find out if there is value of having surgeons with AR fellowship training to perform primary total knee arthroplasty. This has an implication in the direction of the training of future AR surgeons and in the distribution of operative cases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients operated by AR trained surgeons | patients who had their total knee replacements performed by surgeons who have completed a fellowship training in adult reconstruction surgery |
| |
| Patients operated by non-AR surgeons | patients who had their total knee replacements performed by orthopaedic surgeons who did not complete an adult reconstruction fellowship training |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Specialty training for knee surgeons | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| To determine whether specialty training or high volume of operative experience is associated with better clinical outcome and quality-of-life scores. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| To determine which other factors are predictors of better outcome score and quality-of-life scores. | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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patients seen at Singapore General Hospital who require total knee arthroplasty
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| Name | Affiliation | Role |
|---|---|---|
| Sok Chuen Tan, MBBS, MRCS | Singapore General Hospital | Principal Investigator |
| Seng Jin Yeo, FRCS, FAMS | Singapore General Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Singapore General Hospital | Singapore | 169608 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17265491 | Background | Katz JN, Mahomed NN, Baron JA, Barrett JA, Fossel AH, Creel AH, Wright J, Wright EA, Losina E. Association of hospital and surgeon procedure volume with patient-centered outcomes of total knee replacement in a population-based cohort of patients age 65 years and older. Arthritis Rheum. 2007 Feb;56(2):568-74. doi: 10.1002/art.22333. |
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