What cases can a general orthopedic surgeon be expected to do competently out of residency?
And assuming he does an advanced case like pollicization will the general ortho be protected from a medico-legal standpoint if something goes wrong?
Thank you for the help!
Arthroplasty:
Total Hip Arthroplasty (Chapter 4)
Total Knee Arthroplasty (Chapter 5)
Hip Hemiarthroplasty (e.g., femoral stem prosthesis, bipolar arthroplasty) (Chapter 40)
Unicondylar knee arthroplasty / Unicompartmental knee arthroplasty (Arthroplasty, knee, condyle and plateau; medial or lateral compartment)
Shoulder and Elbow:
Total Shoulder Arthroplasty (Chapter 37)
Hand and wrist:
Carpal Tunnel Release (Chapter 9)
Surgical Treatment Of Cubital Tunnel Syndrome
Trigger Finger Release
Sports:
Diagnostic Knee Arthroscopy: Surgical Technique (Chapter 1)
Diagnostic Shoulder Arthroscopy: Surgical Technique (Chapter 2)
Hip Arthroscopy: Labral Repair and Femoroacetabular Impingement (Chapter 31)
Elbow Arthroscopy (Chapter 32)
Arthroscopic Rotator Cuff Repair (Chapter 30)
Anterior Cruciate Ligament Reconstruction With Patellar Tendon (Chapter 3)
Anterior Shoulder Stabilization: Surgical Technique (Chapter 29)
Acromioclavicular Joint Reconstruction (Chapter 39)
Arthroscopic meniscal repair of the knee for traumatic meniscal tears
Arthroscopic partial meniscectomy of the knee for degenerative meniscal tears
Arthroscopic decompression of subacromial space +/- partial acromioplasty +/- coracoacromial ligament release
Trauma and casting:
Femur:
Femoral Shaft Fractures: Intramedullary Nailing (Chapter 16)
Femoral Neck Fractures: Open Reduction and Internal Fixation (Chapter 6)
Femoral Neck Fractures: Prosthetic replacement
Femoral Neck Fractures: Percutaneous skeletal fixation
Intertrochanteric Femur Fractures: Intramedullary Hip Screw (Chapter 7)
Intertrochanteric Femur Fractures: Sliding HIP Screw (Chapter 8)
Intertrochanteric, Peri-trochanteric or Subtrochanteric Femoral Fracture: Intramedullary implant
Intertrochanteric, Peri-trochanteric or Subtrochanteric Femoral Fracture: ORIF
Tibia:
Tibial Shaft Fractures: ORIF
Tibial Shaft Fractures: Intramedullary Nailing (Chapter 17)
Tibial Plateau Fractures: ORIF (Chapter 28)
Humerus:
Proximal Humerus Fracture Fixation: ORIF and Closed Reduction Percutaneous Pinning (Chapter 34)
Pathologic Humeral Shaft Fracture: ORIF (Chapter 23)
Adult Distal Humerus Fractures: ORIF (Chapter 15)
Ankle:
Bimalleolar Ankle Fracture: ORIF (Chapter 11)
Distal Fibular Fracture: ORIF (lateral malleolus)
Hand:
Metacarpal Fractures: Closed Reduction and Percutaneous Pinning (Chapter 35)
Distal Radius Fractures: ORIF (Chapter 36)
Closed Reduction Forearm and Wrist (Adult) (Chapter 14)
Clavicle:
Midshaft Clavicle Fracture: ORIF (Chapter 38)
Pediatrics:
Pediatric Techniques: Supracondylar Humerus Fracture Percutaneous Fixation (Chapter 18)
Pediatric Techniques: Clubfoot Casting and Clubfoot Surgical Correction (Chapter 19)
Pediatric Techniques: Percutaneous Pinning for Slipped Capital Femoral Epiphysis (Chapter 20)
Epiphysiodesis for Limb Length Discrepancy and Angular Deformity (Chapter 21)
Foot and ankle
Ankle Arthrodesis (Chapter 12)
Hindfoot and Midfoot Fusion (Chapter 13)
Compartment Syndrome: Four Compartment Leg Release Technique (Chapter 27)
Bunionectomy (hallux valgus)
I used the content outline of the book "Case Competencies in orthopedic surgery" (this book is based on the ACGME case minimums)
and I integrated the most common orthopedic surgery procedures based on these 2 studies into the content outline:
Use of the National Surgical Quality Improvement Program in Orthopaedic Surgery (nih.gov)
Randomised Trial Support for Orthopaedic Surgical Procedures
and grouped everything by subspecialty
It comes out to about 50 procedures rather than just 20/30 however i am just a med student interested in the specialty, you need an orthopedic surgeon (like
@OrthoTraumaMD and
@DarkHorizon) to decide whether this list is representative of the procedures a general orthopedic surgeon does or if it is missing/excessive