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Updated: Mar 28, 2026

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Technical errors and complications in orthopaedic trauma surgery.

M A Meeuwis1, M A C de Jongh2, J A Roukema3

  • 1Department of Surgery, St. Elisabeth Hospital, P.O. Box 90151, 5000 LC, Tilburg, The Netherlands. m.meeuwis@elisabeth.nl.

Archives of Orthopaedic and Trauma Surgery
|December 23, 2015
PubMed
Summary
This summary is machine-generated.

An orthopaedic trauma surgeon

Keywords:
ComplicationsFracturesSurgical error

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Area of Science:

  • Orthopaedic Surgery
  • Surgical Errors
  • Patient Safety

Background:

  • Adverse events in fracture surgery are increasingly scrutinized.
  • Errors in fracture surgery are underreported compared to complications.
  • Understanding error circumstances is crucial for improving patient outcomes.

Purpose of the Study:

  • To describe errors and complications in osteosynthesis.
  • To analyze factors influencing error and complication rates, including surgeon type and fracture urgency.
  • To evaluate the impact of orthopaedic trauma surgeons on error and complication incidence.

Main Methods:

  • Prospective data collection in a hospital complication registry.
  • Analysis of osteosynthesis procedures performed between 2000 and 2010.
  • Comparison of error and complication rates with and without orthopaedic trauma surgeon involvement.

Main Results:

  • An error in osteosynthesis occurred in 1.8% of procedures.
  • Error rates were significantly lower when an orthopaedic trauma surgeon was involved (OR=0.53, p=0.007).
  • Postoperative complications occurred in 19.8% of patients, with no significant difference based on orthopaedic trauma surgeon presence (p=0.088).

Conclusions:

  • The true error rate in osteosynthesis may be higher due to underreporting of minor errors.
  • Involvement of an orthopaedic trauma surgeon significantly reduces the probability of errors during osteosynthesis.
  • Orthopaedic trauma surgeon presence did not significantly reduce overall postoperative complications.