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The Journal of Bone and Joint Surgery 80:606 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

David L. Bowles, M.D, Hans J. Kreder, M.D., Richard A. Deyo, M.D., Thomas Koepsell, M.D., Marc F. Swiontkowski, M.D. and William Kreuter, M.P.A.

TO THE EDITOR:

I read with interest "Relationship between the Volume of Total Hip Replacements Performed by Providers and the Rates of Postoperative Complications in the State of Washington" (79-A: 485–494, April 1997), by Kreder et al. I have the utmost respect for the clinical studies performed by this group in Seattle, and over the years their contributions to the knowledge and patient care in the orthopaedic community have been invaluable to all of us. However, when we start doing studies that lump together all orthopaedic surgeons, whether they have a high-volume or low-volume practice, we are inviting trouble. Certainly there are orthopaedic surgeons who would be considered to have a low-volume practice but who perform total joint replacements (many times in rural situations) and perform them well. To . . . [Full Text of this Article]


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