Diego Azañedo, Diego Chambergo-Michilot, Akram Hernández-Vásquez
Associations between chronic conditions and oral health services utilization in older Peruvian adults: a pooled analysis of the Demographic and Health Survey 2015-2017
Epidemiology and health
unstable fractures often necessitate open reduction internal fixation orif generally yield favourable outcomes however impact surgical trainee autonomy healthcare quality procedures remains uncertain hypothesized surgery performed solely residents without supervision participation attending surgeon provide similar outcomes surgery performed trauma foot ankle fellowshiptrained orthopaedic surgeons singlecenter cohort academic level1 trauma center retrospectively reviewed ankle orif 2015 2019 data compared surgery performed solely postgraduateyear 4 6 residents surgery performed trauma foot ankle fellowshiptrained surgeons demographics surgical parameters preoperative postoperative radiographs primary mortality complications revision surgery secondary outcome variables collected analyzed univariate analysis performed evaluate outcomes total 460 ankle fractures included study nonoperative cases cases operated senior orthopaedic surgeons trauma foot ankle fellowshiptrained orthopaedic surgeons excluded average followup time 584 months sd 125 univariate analysis outcomes demonstrated significant difference residents attendings complications reoperations rate p 0690 p 0388 subanalysis fracture pattern laugehansen classification number malleoli involved fixated demonstrated similar outcomes surgery time significantly longer resident group p 0001 current study demonstrates ankle fracture surgery performed trained orthopaedic surgery residents similar results complication rates surgery performed fellowshiptrained attendings findings provide valuable insights surgical autonomy residency role modern clinical training surgical education level iii retrospective cohort study