Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research

There are controversial disputes regarding the ethical concerns for arthroscopic posterior cruciate ligament (PCL) avulsion fixation accompanied by various complications and difficulties. Firstly, this procedure maintains long learning curve, and it is still in a cast of dilemma if this procedure is...

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Main Authors: Farzad Amouzadeh Omrani, Gholamhossein Kazemian, Alireza Manafi Rasi, Mohammadmahdi Sarzaeem, Mohammad Khak
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2017-03-01
Series:Journal of Orthopedic and Spine Trauma
Subjects:
Online Access:https://jost.tums.ac.ir/index.php/jost/article/view/70
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author Farzad Amouzadeh Omrani
Gholamhossein Kazemian
Alireza Manafi Rasi
Mohammadmahdi Sarzaeem
Mohammad Khak
author_facet Farzad Amouzadeh Omrani
Gholamhossein Kazemian
Alireza Manafi Rasi
Mohammadmahdi Sarzaeem
Mohammad Khak
author_sort Farzad Amouzadeh Omrani
collection DOAJ
description There are controversial disputes regarding the ethical concerns for arthroscopic posterior cruciate ligament (PCL) avulsion fixation accompanied by various complications and difficulties. Firstly, this procedure maintains long learning curve, and it is still in a cast of dilemma if this procedure is justified, when a surgeon should undergo a considerable time and efforts in order to acquire enough experience regarding this novel procedure. Secondly, when stable fixation is not achieved, one may need to shift to open surgery; the issue arises when surgeon terminates the surgery just with somewhat fixation because he does not want to demonstrate any sign of weakness regarding his surgical skills. And finally, there are specific considerations that should be taken into account in the informed consent for an innovative surgery. Here the study discusses these terms in the faiths of fashioning a catalyst for further discussions.
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spelling doaj.art-255ef4fcbc6d432499c7a23de0a1ac9d2022-12-21T20:13:36ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002017-03-013110.5812/jost.60943Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical ResearchFarzad Amouzadeh Omrani0Gholamhossein Kazemian1Alireza Manafi Rasi2Mohammadmahdi Sarzaeem3Mohammad Khak4Department of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Orthopedic and Trauma Surgery, Shahid Beheshti University of Medical Sciences, Tehran, IranThere are controversial disputes regarding the ethical concerns for arthroscopic posterior cruciate ligament (PCL) avulsion fixation accompanied by various complications and difficulties. Firstly, this procedure maintains long learning curve, and it is still in a cast of dilemma if this procedure is justified, when a surgeon should undergo a considerable time and efforts in order to acquire enough experience regarding this novel procedure. Secondly, when stable fixation is not achieved, one may need to shift to open surgery; the issue arises when surgeon terminates the surgery just with somewhat fixation because he does not want to demonstrate any sign of weakness regarding his surgical skills. And finally, there are specific considerations that should be taken into account in the informed consent for an innovative surgery. Here the study discusses these terms in the faiths of fashioning a catalyst for further discussions.https://jost.tums.ac.ir/index.php/jost/article/view/70ArthroscopyAvulsion FractureOpen SurgeryPosterior Cruciate LigamentSurgical Research Ethics
spellingShingle Farzad Amouzadeh Omrani
Gholamhossein Kazemian
Alireza Manafi Rasi
Mohammadmahdi Sarzaeem
Mohammad Khak
Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research
Journal of Orthopedic and Spine Trauma
Arthroscopy
Avulsion Fracture
Open Surgery
Posterior Cruciate Ligament
Surgical Research Ethics
title Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research
title_full Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research
title_fullStr Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research
title_full_unstemmed Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research
title_short Are Arthroscopic PCL Avulsion Fixation and its Long Learning Curve Morally Justified When Other Surgical Approaches are Valid? An Ethical Issue in Surgical Research
title_sort are arthroscopic pcl avulsion fixation and its long learning curve morally justified when other surgical approaches are valid an ethical issue in surgical research
topic Arthroscopy
Avulsion Fracture
Open Surgery
Posterior Cruciate Ligament
Surgical Research Ethics
url https://jost.tums.ac.ir/index.php/jost/article/view/70
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