MICA: A Learning Curve.
Chevron and Akin (MICA)
bunion surgery
hallux valgus
learning curve
minimally invasive
osteotomy
Journal
The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
ISSN: 1542-2224
Titre abrégé: J Foot Ankle Surg
Pays: United States
ID NLM: 9308427
Informations de publication
Date de publication:
Historique:
received:
19
02
2019
revised:
21
07
2019
accepted:
24
07
2019
pubmed:
29
4
2020
medline:
25
6
2021
entrez:
29
4
2020
Statut:
ppublish
Résumé
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 first cases to a mean of ∼45 minutes in the third year. This learning curve plateaued by the 21st patient. The number of intraoperative fluoroscopy studies used decreased substantially over the first 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.
Identifiants
pubmed: 32340840
pii: S1067-2516(20)30065-X
doi: 10.1053/j.jfas.2019.07.027
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
781-783Informations de copyright
Copyright © 2020 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.