Objectives: 

Operative management of acetabular fractures is technically challenging, but there is little data regarding how surgeon experience affects outcomes. Previous efforts have focused only on reduction quality in a single surgeon series. We hypothesized that increasing surgeon experience would be associated with improved acetabular surgical outcomes in general.

Design: 

Retrospective cohort study.

Setting: 

Urban academic level-I trauma center.

Patients/Participants: 

Seven hundred ninety-five patients who underwent an open reduction internal fixation for an acetabular fracture.

Results: 

There was a significant association between surgeon experience and certain outcomes, specifically reoperation rate (16.9% overall), readmission rate (13.9% overall), and reduction quality. Deep infection rate (9.7% overall) and secondary displacement rate (3.7% overall) were not found to have a significant association with surgeon experience. For reoperation rate, the time until 50% peak performance was 2.4 years in practice.

Conclusion: 

Surgeon experience had a significant association with reoperation rate, quality of reduction, and readmission rate after open reduction internal fixation of acetabular fractures. Other patient outcomes were not found to be associated with surgeon experience.

Level of Evidence: 

Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

中文翻译：

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外科医生经验对髋臼骨折手术固定术后中短期并发症发生率的影响

目标： 

髋臼骨折的手术治疗在技术上具有挑战性，但关于外科医生经验如何影响结果的数据很少。以前的努力只关注单个外科医生系列的复位质量。我们假设外科医生经验的增加与总体上髋臼手术结果的改善有关。

设计： 

回顾性队列研究。

环境： 

市学术一级创伤中心。

患者/参与者： 

795 名接受切开复位内固定治疗髋臼骨折的患者。

结果： 

外科医生的经验与某些结果之间存在显着关联，特别是再手术率（总体 16.9%）、再入院率（总体 13.9%）和复位质量。未发现深部感染率（总体 9.7%）和二次移位率（总体 3.7%）与外科医生经验有显着关联。对于再手术率，实践中达到 50% 峰值性能的时间为 2.4 年。

结论： 

外科医生经验与髋臼骨折切开复位内固定术后的再手术率、复位质量和再入院率显着相关。未发现其他患者结果与外科医生的经验相关。

证据等级： 

预后等级 III。有关证据等级的完整描述，请参阅作者须知。