MICA: A Learning Curve

被引：37

作者：

Palmanovich, Ezequiel ^{[1
,2
]}

Ohana, Nissim ^{[2
,3
]}

Atzmon, Ran ^{[4
,5
]}

Slevin, Omer ^{[2
,6
]}

Brin, Yaron ^{[2
,6
]}

Feldman, Viktor ^{[2
,6
]}

Segal, David ^{[2
,6
]}

机构：

[1] Meir Hosp, Orthoped Dept, Meir Med Ctr, Sapir Med Ctr,Foot & Ankle Serv, Kefar Sava, Israel

[2] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel

[3] Meir Hosp, Orthopaed Dept, Sapir Med Ctr, Meir Med Ctr, Kefar Sava, Israel

[4] Assuta Med Ctr, Dept Orthoped Surg, Ashdod, Israel

[5] Ben Gurion Univ Negev, Fac Hlth & Sci, Beer Sheva, Israel

[6] Meir Hosp, Orthoped Dept, Sapir Med Ctr, Kefar Sava, Israel

来源：

JOURNAL OF FOOT & ANKLE SURGERY | 2020年 / 59卷 / 04期

关键词：

bunion surgery; Chevron and Akin (MICA); hallux valgus; learning curve; minimally invasive; osteotomy;

D O I：

10.1053/j.jfas.2019.07.027

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Techniques of minimally invasive bunion surgery have become increasingly popular in recent years. However, the learning curve involved in mastering these innovative techniques has not been described. To address this issue, a trained foot and ankle surgeon in a university hospital operated on 50 patients using the minimally invasive Chevron and Akin procedure over the course of 3 years, from January 2016 through December 2018. Surgery duration and x-ray exposure were documented. Results showed that surgery duration decreased from >2 hours in the fi rst cases to a mean of similar to 45 minutes in the third year. This learning curve plateaued by the 21st patient. The num-ber of intraoperative fl uoroscopy studies used decreased substantially over the fi rst 27 surgeries, at which point the learning curve plateaued. In summary, it took about 27 procedures for an inexperienced surgeon to acquire the skill of performing minimally invasive Chevron and Akin osteotomy. (c) 2020 by the American College of Foot and Ankle Surgeons. All rights reserved.

引用

页码：781 / 783

页数：3

共 12 条

[1] Two year outcomes of minimally invasive hallux valgus surgery [J].