The epidemiology of reoperations for orthopaedic XXXX .

@entity1 @entity1171 @entity130
INTRODUCTION: The Royal College of Surgeons of England (RCS) has issued guidance regarding the use of reoperation rates in the revalidation of UK-based orthopaedic surgeons. Currently, little has been published concerning acceptable rates of reoperation following primary surgical management of orthopaedic @entity130 , particularly with reference to revalidation. METHODS: A retrospective review was conducted of @entity1 undergoing clearly defined reoperations following primary surgical management of @entity130 between 1 January 2010 and 31 December 2011. A full case note review was undertaken to establish the demographics, clinical course and context of reoperation. A review of the imaging was performed to establish whether the procedure performed was in line with accepted @entity130 practice and whether the technical execution was acceptable. RESULTS: A total of 3,688 @entity1 underwent primary procedures within the time period studied while 70 (1.90%, 99% CI: 1.39-2.55) required an unplanned reoperation. Thirty-nine (56%) of these @entity1 were male. The mean age of @entity1 was 56 years (range: 18-98 years) and there was a median time to reoperation of 50 days (IQR: 13-154 days). Potentially avoidable reoperations occurred in 41 @entity1 (58.6%, 99% CI: 43.2-72.6). This was largely due to technical errors (40 @entity1 , 57.1%, 99% CI: 41.8-71.3), representing 1.11% (99% CI: 0.73-1.64) of the total @entity130 workload. Within RCS guidelines, 28-day reoperation rates for hip, wrist and @entity1171 were 1.4% (99% CI: 0.5-3.3), 3.5% (99% CI: 0.8%-12.1) and 1.86% (99% CI: 0.4-6.6) respectively. CONCLUSIONS: We present novel work that has established baseline reoperation rates for index procedures required for revalidation of orthopaedic surgeons.
