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Related Experiment Video

Updated: Sep 17, 2025

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A Systematic Review Of Learning Curves in Orthopaedic Sports Surgery.

Christopher Shultz1, Nicole Levine2, William Curtis1

  • 1University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.

The Iowa Orthopaedic Journal
|July 3, 2025
PubMed
Summary
This summary is machine-generated.

This study defines learning curves for orthopaedic sports medicine procedures. Surgeons need 22-71 cases to master shoulder, hip, and knee surgeries, aiding practice integration.

Keywords:
learning curvesmedical educationorthopedic residencyorthopedic surgeryresidencysurgical educationsurgical training

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Area of Science:

  • Orthopaedic Sports Medicine
  • Surgical Education
  • Patient Safety

Background:

  • The concept of surgical learning curves is recognized but lacks specific definition in orthopaedic sports medicine.
  • Guidance is needed for surgeons entering practice or adopting new procedures to mitigate patient risk.
  • Understanding learning curves is crucial for safe and effective surgical skill acquisition.

Purpose of the Study:

  • To define and quantify the learning curves for various orthopaedic sports medicine procedures.
  • To determine the number of cases required for surgeons to overcome the learning curve in specific surgical sub-categories.

Main Methods:

  • A systematic review of literature was conducted using PubMed-MEDLINE, Scopus, and Embase databases.
  • Search terms focused on "Learning Curves" within orthopaedic sports medicine.
  • Articles were categorized into shoulder arthroscopy/reconstruction, shoulder arthroplasty, hip arthroscopy, knee arthroscopy/reconstruction, and knee osteotomy.

Main Results:

  • A total of 4,558 articles were initially reviewed, with 51 ultimately included.
  • The defined learning curves (number of cases) were: 22 for shoulder arthroscopy/reconstruction, 28 for shoulder arthroplasty, 71 for hip arthroscopy, 28 for knee arthroscopy/reconstruction, and 32 for knee osteotomy.

Conclusions:

  • Surgeons should consider the established learning curves when implementing shoulder, hip, and knee procedures.
  • This data provides a quantitative benchmark for surgical proficiency in orthopaedic sports medicine.
  • Evidence level II supports the findings regarding learning curve quantification.