Increasing efficiency by optimizing table position for elective primary THA and TKA: a prospective monocentric pilot stu
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RESEARCH
Arthroplasty Open Access
Increasing efficiency by optimizing table position for elective primary THA and TKA: a prospective monocentric pilot study Dirk Zajonz1,2,3*†, Celina Höhn1,4†, Juliane Neumann4, Christine Angrick4, Robert Möbius2, Gerald Huschak5, Thomas Neumuth4, Mohamed Ghanem1† and Andreas Roth1†
Abstract Introduction: Hip and knee arthroplasties are very frequently performed surgeries with high quality standards and continuous optimization potential. Intraoperative processes can be standardized and simplified by optimization of table setups in the operating room to improve the quality and to increase efficiency. Patients and methods: The existing surgical setups for primary hip and knee arthroplasties in a university maximum care hospital with endoprosthesis center were simulated and analysed with a computer program and optimized setup suggestions were worked out, based on handover times, walking distance and ergonomic aspects determined in the program. In a prospective monocentric analysis, primary hip arthroplasties and knee arthroplasties were examined in currently used and in the new optimized setups (standard procedure according to in-house SOP, senior and main surgeons, no assistants). The surgeries were externally and independently supervised and analysed, whereby the time between incision and suture beginning, handovers per minute and handover times were documented, amongst other things. In addition, an evaluation sheet, which showed the satisfaction with the new setup, was filled by the surgical team. (Continued on next page)
* Correspondence: [email protected]; [email protected] † Dirk Zajonz and Celina Höhn, contributed equally to this work. Mohamed Ghanem and Andreas Roth contributed equally as seniors to this work. 1 Department of Orthopaedic Surgery, Traumatology and Plastic Surgery, University Hospital Leipzig, Liebigstrasse 20, D-04103 Leipzig, Germany 2 ZESBO – Center for Research on Musculoskeletal Systems, University of Leipzig, Semmelweisstrasse 14, D-04103 Leipzig, Germany Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Zajonz et al. Arthroplasty
(2020) 2:29
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