What is it about?

Return to theatre - unplanned reoperation - is of growing interest as a measure of quality of care for surgery. For hip and knee ops, it can be used alongside joint revision rates to better understand post-op complications and help improve surgeon performance. We describe what it is, how it's calculated and how much variation exists between surgeons and hospitals.

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Why is it important?

Revision rates are the standard measure of complications for hip and knee replacements, but returns to theatre are more closely related to surgeon skill than revisions.

Perspectives

This work follows on from my involvement in defining return to theatre for ops in other surgical specialties - colorectal and cystectomy - that are published elsewhere. We're following this up with other studies.

Dr Alex Bottle
Imperial College London

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This page is a summary of: Return to theatre for elective hip and knee replacements, The Bone & Joint Journal, December 2014, Bone & Joint,
DOI: 10.1302/0301-620x.96b12.34002.
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