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Related Experiment Video

Updated: Jun 27, 2026

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
07:05

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

Published on: May 26, 2026

Resident Involvement in Hand Surgery Does Not Impact Operative Efficiency or Short-Term Postoperative Complications:

Adam M Gordon1, Patrick P Nian2, Jack Choeuka2

  • 1Questrom School of Business, Boston University, Boston, Massachusetts; Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, New York.

Journal of Surgical Education
|June 25, 2026
PubMed
Summary

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Resident involvement in hand surgery does not increase short-term complication risks or affect operative efficiency. This study found no significant differences in outcomes for procedures with resident assistance compared to attending surgeons alone.

Area of Science:

  • Orthopedic Surgery
  • Surgical Education
  • Patient Safety

Background:

  • Academic hand surgery programs face challenges balancing trainee education with efficient patient care.
  • Limited data exists on the impact of resident involvement in common hand surgical procedures on patient outcomes.
  • Evaluating resident participation is crucial for optimizing surgical training and patient safety.

Purpose of the Study:

  • To assess whether resident involvement in hand surgery cases influences postoperative complication rates.
  • To determine the effect of resident participation on the efficiency of common hand surgical procedures.

Main Methods:

  • A retrospective, matched case-control study analyzed 1752 hand surgery cases (50% with resident involvement).
  • Procedures included carpometacarpal (CMC) arthroplasty and distal radius fracture open reduction and internal fixation (ORIF).
Keywords:
complicationseducationhand surgeryorthopedicsoutcomesresident

Related Experiment Videos

Last Updated: Jun 27, 2026

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients
07:05

A Standardized Acupotomy Protocol For The Treatment of Tenosynovitis of Hand Flexor Tendons In Human Patients

Published on: May 26, 2026

  • Data collected included patient demographics, comorbidities, operative times, length of stay (LOS), and 30-day postoperative complications.
  • Main Results:

    • No significant differences in short-term complication rates were observed between resident-involved (2.5%) and attending-only (4.0%) groups (p=0.105).
    • Total operative times (75.8 min vs. 74.2 min) and lengths of stay (0.2 vs. 0.3 days) were similar between groups.
    • After adjusting for comorbidities and surgical type, resident involvement was not linked to increased odds of postoperative complications.

    Conclusions:

    • Resident involvement in hand surgery does not elevate the risk of short-term medical or surgical complications.
    • Operative efficiency is not negatively impacted by resident participation in common hand surgery procedures.
    • Findings support the integration of residents in hand surgery training without compromising patient safety or efficiency.