Relationship between surgeons' position and the duration of the procedure during minimally invasive osteosynthesis of distal radius fractures.
Hand Surg Rehabil
; 41(3): 324-327, 2022 06.
Article
em En
| MEDLINE
| ID: mdl-35192940
ABSTRACT
This study aimed to assess the influence of the surgeon's position on procedure time in MIPO (Minimally Invasive Plate Osteosynthesis) for distal radius fracture. The hypothesis was that there was a correlation between procedure time and the surgeon's position in relation to the operated side. Thirteen surgeons (12 right-handed, 1 left-handed) operated on 421 distal radius fractures 208 right-sided (R) and 213 left-sided (L). Surgeons stood either at the patient's head (H) or the feet (F). Procedure time and scar size were measured. Regardless of operated side (right or left), mean surgery time was 35.5 min (range, 14-71) with the surgeon at the head and 40.5 min (range, 11-119) with the surgeon at the feet. The difference (5 min) was statistically significant. When the right side was operated on, surgery time was 34.2 min (range, 14-66) with surgeon at the head and 41.1 min (range, 11-86) at the feet. The difference (6 min) was statistically significant. No other comparisons were significant. There was no correlation with surgeon's experience. Given that 1 min of operating room time costs between 10.80 and 29, savings of 54 to 145 per procedure can be achieved. The study hypothesis was confirmed, with a correlation between the surgeon's position in relation to the operated side and the duration of the operation. In conclusion, we recommend that surgeons position themselves at the patient's head for of distal radius fracture MIPO.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fraturas do Rádio
/
Cirurgiões
Limite:
Humans
Idioma:
En
Revista:
Hand Surg Rehabil
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
França