Provision of Revision Knee Arthroplasty Services Across Scotland: A National Audit 

Description

In this recording of a presentation, Luke Farrow discusses a national audit assessing revision knee arthroplasty services across Scotland. He begins by introducing the topic and his role as a clinical research fellow, emphasizing the collaborative nature of the study driven by GIRFT (Getting It Right First Time) principles. Farrow highlights the significance of evaluating surgical volumes, as low surgeon and center volumes correlate with worse patient outcomes in revision arthroplasty. The audit examined data from 2019, focusing on the number of services, cases, and complexity levels, using classifications to categorize the surgeries.



The findings indicate that a considerable proportion of surgical units do not meet the recommended operational volumes. Furthermore, only a small percentage of surgeons perform enough cases to achieve better outcomes, raising concerns about low volume surgeons and suggesting potential solutions such as dual consultant operations for more complex cases. Farrow presents evidence to substantiate these claims and stresses the need for ongoing discussions regarding service delivery and management of revision knee surgeries. He concludes by asserting that the data collected offers valuable insights into the complexities of revision knee procedures in Scotland and can influence future service improvements, followed by a Q&A session addressing audience inquiries about training and specialist recommendations.

DOI: 10.1302/3114-221606

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