Alper DUNKI, Murat BIRINCI, Hakan Batuhan KAYA, Mesut AKKAYA, Omer POLAT
İstanbul Kuzey Klinikleri Dergisi - 2026;13(2):194-201
OBJECTIVE: Total hip arthroplasty (THA) is one of the orthopaedic surgeries performed today that yields satisfactory results. The surgeon volume has an important effect on the success of THA and we predict that surgeon-related variables can be brought to the most optimal level with experience. METHODS: Patients who underwent primary THA surgery between 2015 and 2024 and had at least 1 year of follow-up were included in the study. High volume (HV) in surgeons who performed at least 20 primary THA operations in at least 3 consecutive years. Surgeons with 5 years or more of experience in orthopedics and traumatology were defined as low volume (LV). Acetabular inclination angle, limb length discrepancy, femoral stem malalignment, and hip rotation center conformity according to the Ranawat triangle method were determined from postoperative radiographs. RESULTS: In the study investigating the relationship between primary THA and surgeon volume, a significant relationship was found between surgical time, hospital stay, dislocation, blood loss, leg length discrepancy and hip rotation center according to Ranawat triangle as surgeon experience increased. No significant relationship was found between the groups in terms of revision surgery, acetabular inclination angle, femoral stem malalignment and periprosthetic infection. CONCLUSION: As in every field, there is a linear relationship between increasing experience in a surgery or disease group and successful results in orthopedics and traumatology. Complication rates may decrease with the increase in HV surgeons in every field. For this reason; increasing the experience of surgeons in a certain field in orthopedics and traumatology will help them follow new developments in this field.
