{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:13:45Z","timestamp":1787613225074,"version":"build-2736575974"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate operation time and surgical complication rate of proximal femoral nailing during resident training.\n\nMethods: This retrospective evaluation included 659 patients (508 females, 151 males; mean age: 80.7 years), operated by 63 supervised residents between 1998 and 2010. All patients received the same implant (Targon\u00ae PF). Fracture classification, operation time and early surgical complications causing reoperation or hospital readmission (i.e. hematoma, infection, hip perforation, nonunion, implant malpositioning) were recorded and correlated with the resident\u2019s operative experience measured by the number of operations performed.\n\nResults: Mean operation time was 61.3 (range: 59.8 to 62.8) minutes. Mean operation time of a resident\u2019s first 15 training operations was 8.7 minutes longer than that of later operations (p&lt;0.001). No further significant shortening of operation time was experienced after the first 15 training operations. Overall surgical complication rate was 9.3% (range: 7.0% to 11.5%). There were no significant differences in complication rate (9.9% vs. 8.2%; p=0.47), hematoma formation (2.5% vs. 0.8%; p=0.07), infection (2.7% vs. 3.9%; p=0.52), nonunion (0.7% vs. 1.6%; p=0.51), cut-out (1.2% vs. 2.4%; p=0.31), lag screw perforation (3.2% vs. 0.4%; p=0.07) or implant malpositioning (0.5% vs. 0.0%; p=0.26) between the first 10 and subsequent training operations the subsequent training operations.\n\nConclusion: After 15 training operations, a resident\u2019s operative speed did not significantly differ from that of more experienced collegues. Early surgical complications were not significantly affected by the resident\u2019s experience.\n\n \n\n\u00d6zet\n\n \n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 asistanl\u0131k e\u011fitimi s\u0131ras\u0131nda uygulanan proksimal femoral \u00e7ivilemenin operasyon s\u00fcresi ve cerrahi komplikasyon oran\u0131n\u0131 de\u011ferlendirmek idi.\n\n\u00c7al\u0131\u015fma plan\u0131: Bu retrospektif de\u011ferlendirmeye 1998 ile 2010 y\u0131llar\u0131 aras\u0131nda g\u00f6zetim alt\u0131ndaki 63 asistan taraf\u0131ndan ameliyat edilen 659 hasta (508 kad\u0131n, 151 erkek; ortalama ya\u015f: 80.7) dahil edildi. T\u00fcm hastalara ayn\u0131 implant uyguland\u0131 (Targon\u00ae PF). K\u0131r\u0131k s\u0131n\u0131fland\u0131rmas\u0131, ameliyat s\u00fcresi ve erken d\u00f6nemde tekrar ameliyata ya da hastaneye yat\u0131r\u0131lmaya neden olan cerrahi komplikasyonlar (hematom, enfeksiyon, kal\u00e7a perforasyonu, kemik kaynamamas\u0131, implant\u0131n hatal\u0131 yerle\u015fimi) kaydedildi ve asistan\u0131n ameliyat tecr\u00fcbesi ger\u00e7ekle\u015ftirilen ameliyat say\u0131s\u0131 ile kar\u015f\u0131la\u015ft\u0131r\u0131larak korelasyonu sa\u011fland\u0131.\n\nBulgular: Ortalama ameliyat s\u00fcresi 61.3 (da\u011f\u0131l\u0131m: 59.8-62.8) dakika olarak \u00f6l\u00e7\u00fcld\u00fc. Bir asistan\u0131n e\u011fitim ama\u00e7l\u0131 ilk 15 ameliyat\u0131n\u0131n ortalama s\u00fcresi daha sonraki ameliyatlar\u0131n s\u00fcresinden 8.7 dakika daha uzundu (p&lt;0.001). \u0130lk 15 e\u011fitim ama\u00e7l\u0131 ameliyat sonras\u0131 ameliyat s\u00fcresinde bunun \u00f6tesinde anlaml\u0131 bir azalma g\u00f6zlenmedi. Olgular\u0131n %9.3\u2019\u00fcnde (da\u011f\u0131l\u0131m: %7-%11.5) cerrahi komplikasyona rastland\u0131. E\u011fitim ameliyatlar\u0131 ile bunlar\u0131 takip eden ilk 10 ameliyattaki komplikasyon oran\u0131 (%9.9 ile %8.2; p=0.47), hematom olu\u015fumu oran\u0131 (%2.5 ile %0.8; p=0.07), enfeksiyon oran\u0131 (%2.7 ile %3.9; p=0.52), kaynamama oran\u0131 (%0.7 ile %1.6; p=0.51), s\u0131yr\u0131lma oran\u0131 (%1.2 ile %2.4; p=0.31), vida perforasyonu oran\u0131 (%3.2 ile %0.4; p=0.07), implant\u0131n hatal\u0131 yerle\u015fimi oran\u0131 (%0.5 ile %0.0; p=0.26) olarak bulunurken, oranlar aras\u0131nda anlaml\u0131 farkl\u0131l\u0131k saptanmad\u0131.\n\n\u00c7\u0131kar\u0131mlar: Bir asistan\u0131n e\u011fitim ama\u00e7l\u0131 15 ameliyat sonras\u0131ndaki cerrahi h\u0131z\u0131 ile daha deneyimli meslekta\u015flar\u0131n\u0131n h\u0131z\u0131 aras\u0131nda anlaml\u0131 bir fark olmad\u0131\u011f\u0131 belirlendi. Erken d\u00f6nem cerrahi komplikasyonlar ile asistan\u0131n deneyimi aras\u0131nda anlaml\u0131 bir ili\u015fki saptanmad\u0131.<\/jats:p>","DOI":"10.3944\/aott.2014.13.0056","type":"journal-article","created":{"date-parts":[[2014,10,6]],"date-time":"2014-10-06T23:15:58Z","timestamp":1412637358000},"page":"396-400","source":"Crossref","is-referenced-by-count":23,"title":["The learning curve of proximal femoral nailing"],"prefix":"10.5152","volume":"48","author":[{"given":"Burak","family":"Altintas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Biber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermann","family":"Josef Bail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2851\/2805","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:19:55Z","timestamp":1763464795000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2014,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2014.13.0056","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}