Determinants of Operative Time in Arthroscopic Rotator Cuff Repair
Arthroscopic rotator cuff repairs have been reported to take between 72 and 113 min to complete. This team has adopted its practice to reduce rotator cuff repair times. We aimed to determine (1) what factors reduced operative time, and (2) whether arthroscopic rotator cuff repairs could be performed...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/5/1886 |
| _version_ | 1797615031212310528 |
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| author | Daniel J. Stitz Allen A. Guo Patrick H. Lam George A. C. Murrell |
| author_facet | Daniel J. Stitz Allen A. Guo Patrick H. Lam George A. C. Murrell |
| author_sort | Daniel J. Stitz |
| collection | DOAJ |
| description | Arthroscopic rotator cuff repairs have been reported to take between 72 and 113 min to complete. This team has adopted its practice to reduce rotator cuff repair times. We aimed to determine (1) what factors reduced operative time, and (2) whether arthroscopic rotator cuff repairs could be performed in under 5 min. Consecutive rotator cuff repairs were filmed with the intent of capturing a <5-min repair. A retrospective analysis of prospectively collected data of 2232 patients who underwent primary arthroscopic rotator cuff repair by a single surgeon was performed using Spearman’s correlations and multiple linear regression. Cohen’s f<sup>2</sup> values were calculated to quantify effect size. Video footage of a 4-min arthroscopic repair was captured on the 4th case. Backwards stepwise multivariate linear regression found that an undersurface repair technique (f<sup>2</sup> = 0.08, <i>p</i> < 0.001), fewer surgical anchors (f<sup>2</sup> = 0.06, <i>p</i> < 0.001), more recent case number (f<sup>2</sup> = 0.01, <i>p</i> < 0.001), smaller tear size (f<sup>2</sup> = 0.01, <i>p</i> < 0.001), increased assistant case number (f<sup>2</sup> = 0.01, <i>p</i> < 0.001), female sex (f<sup>2</sup> = 0.004, <i>p</i> < 0.001), higher repair quality ranking (f<sup>2</sup> = 0.006, <i>p</i> < 0.001) and private hospital (f<sup>2</sup> = 0.005, <i>p</i> < 0.001) were independently associated with a faster operative time. Use of the undersurface repair technique, reduced anchor number, smaller tear size, increased surgeon and assistant surgeon case number, performing repairs in a private hospital and female sex independently lowered operative time. A <5-min repair was captured. |
| first_indexed | 2024-03-11T07:20:42Z |
| format | Article |
| id | doaj.art-8911ecb83ef7419e8e64af79a49139d3 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T07:20:42Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-8911ecb83ef7419e8e64af79a49139d32023-11-17T07:59:42ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01125188610.3390/jcm12051886Determinants of Operative Time in Arthroscopic Rotator Cuff RepairDaniel J. Stitz0Allen A. Guo1Patrick H. Lam2George A. C. Murrell3Orthopaedic Research Institute, St. George Hospital Campus, Kogarah, NSW 2217, AustraliaOrthopaedic Research Institute, St. George Hospital Campus, Kogarah, NSW 2217, AustraliaOrthopaedic Research Institute, St. George Hospital Campus, Kogarah, NSW 2217, AustraliaOrthopaedic Research Institute, St. George Hospital Campus, Kogarah, NSW 2217, AustraliaArthroscopic rotator cuff repairs have been reported to take between 72 and 113 min to complete. This team has adopted its practice to reduce rotator cuff repair times. We aimed to determine (1) what factors reduced operative time, and (2) whether arthroscopic rotator cuff repairs could be performed in under 5 min. Consecutive rotator cuff repairs were filmed with the intent of capturing a <5-min repair. A retrospective analysis of prospectively collected data of 2232 patients who underwent primary arthroscopic rotator cuff repair by a single surgeon was performed using Spearman’s correlations and multiple linear regression. Cohen’s f<sup>2</sup> values were calculated to quantify effect size. Video footage of a 4-min arthroscopic repair was captured on the 4th case. Backwards stepwise multivariate linear regression found that an undersurface repair technique (f<sup>2</sup> = 0.08, <i>p</i> < 0.001), fewer surgical anchors (f<sup>2</sup> = 0.06, <i>p</i> < 0.001), more recent case number (f<sup>2</sup> = 0.01, <i>p</i> < 0.001), smaller tear size (f<sup>2</sup> = 0.01, <i>p</i> < 0.001), increased assistant case number (f<sup>2</sup> = 0.01, <i>p</i> < 0.001), female sex (f<sup>2</sup> = 0.004, <i>p</i> < 0.001), higher repair quality ranking (f<sup>2</sup> = 0.006, <i>p</i> < 0.001) and private hospital (f<sup>2</sup> = 0.005, <i>p</i> < 0.001) were independently associated with a faster operative time. Use of the undersurface repair technique, reduced anchor number, smaller tear size, increased surgeon and assistant surgeon case number, performing repairs in a private hospital and female sex independently lowered operative time. A <5-min repair was captured.https://www.mdpi.com/2077-0383/12/5/1886rotator cuff repairoperative efficiencysurgeon experienceundersurface techniqueoperative durationsurgical throughput |
| spellingShingle | Daniel J. Stitz Allen A. Guo Patrick H. Lam George A. C. Murrell Determinants of Operative Time in Arthroscopic Rotator Cuff Repair Journal of Clinical Medicine rotator cuff repair operative efficiency surgeon experience undersurface technique operative duration surgical throughput |
| title | Determinants of Operative Time in Arthroscopic Rotator Cuff Repair |
| title_full | Determinants of Operative Time in Arthroscopic Rotator Cuff Repair |
| title_fullStr | Determinants of Operative Time in Arthroscopic Rotator Cuff Repair |
| title_full_unstemmed | Determinants of Operative Time in Arthroscopic Rotator Cuff Repair |
| title_short | Determinants of Operative Time in Arthroscopic Rotator Cuff Repair |
| title_sort | determinants of operative time in arthroscopic rotator cuff repair |
| topic | rotator cuff repair operative efficiency surgeon experience undersurface technique operative duration surgical throughput |
| url | https://www.mdpi.com/2077-0383/12/5/1886 |
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