{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T17:36:14Z","timestamp":1770831374499,"version":"3.50.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The aim of this study was to determine whether the duration of the approach (PII) and closure (PV) phases for minimally invasive plate osteosynthesis (MIPO) of distal radius fractures varied according to the surgeon's level of expertise. The main hypothesis was that the PII or PV duration was inversely proportional to the level of expertise.<\/jats:p><jats:p>\n          Materials and Methods\u2003The method measured the duration of PII and PV for 50 videos of MIPO operated by one surgeon with level 3E expertise, three with level 4E, and one with level 5E. The videos were viewed to identify any technical errors.<\/jats:p><jats:p>\n          Results\u2003The average PII duration was 3\u2009minutes 8\u2009seconds for level 5E, 4\u2009minutes 7\u2009seconds for 4E, and 6\u2009minutes 19\u2009seconds for 3E. Average PV duration was 2\u2009minutes 12\u2009seconds for level 5E, 2\u2009minutes 36\u2009seconds for 4E, and 2\u2009minutes 41\u2009seconds for 3E. The average duration of PII\u2009+\u2009PV was 5\u2009minutes 20\u2009seconds for level 5E, 6\u2009minutes 37\u2009seconds for 4E, and 9\u2009minutes for 3E. These findings indicate that both PII and PV duration was the longest in the level 3E surgeons' practice. Six technical errors were identified for levels 3E and 4E during PII (hemostasis control, multiple incisions, instrument handling, improper use of the fluoroscope, time-outs) and PV (intradermal reattachment).<\/jats:p><jats:p>\n          Clinical Relevance\u2003The main hypothesis was verified since the duration of PII or PV was inversely proportional to the surgeon's level of expertise. This study identified technical errors in hand surgery practices of new surgeons. By early identification and correcting these minor errors, it would be possible to speed up the learning curve. We recommend surgical videos to be systematically recorded and analyzed to improve hand surgery practices.<\/jats:p><jats:p>\n          Type of Study\/Level of Evidence\u2003Therapeutic\/Level IIIa.<\/jats:p>","DOI":"10.1055\/s-0044-1779285","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T23:50:12Z","timestamp":1709941812000},"page":"128-133","source":"Crossref","is-referenced-by-count":2,"title":["Influence of Surgeon's Expertise on the Duration of Approach and Closure during Osteosynthesis of Distal Radius Fractures"],"prefix":"10.1055","volume":"14","author":[{"given":"Laurine","family":"Cafarelli","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Strasbourg University Hospital, FMTS, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camille","family":"Gra\u00ebff","sequence":"additional","affiliation":[{"name":"IHU, Institute of Image-Guided Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg, France"},{"name":"ICube CNRS UMR7357, Strasbourg University, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Lampert","sequence":"additional","affiliation":[{"name":"IHU, Institute of Image-Guided Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg, France"},{"name":"ICube CNRS UMR7357, Strasbourg University, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Padoy","sequence":"additional","affiliation":[{"name":"IHU, Institute of Image-Guided Surgery, Strasbourg University Hospital, FMTS, University of Strasbourg, Strasbourg, France"},{"name":"ICube CNRS UMR7357, Strasbourg University, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Public Health, Strasbourg University Hospital, FMTS, Strasbourg, France, 1 avenue de l\u2019h\u00f4pital, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armaghan","family":"Dabbagh","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laela","family":"El Amiri","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Strasbourg University Hospital, FMTS, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5509-8995","authenticated-orcid":false,"given":"Philippe","family":"Liverneaux","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Strasbourg University Hospital, FMTS, Strasbourg, France"},{"name":"ICube CNRS UMR7357, Strasbourg University, Strasbourg, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.jsurg.2018.08.002","article-title":"Case difficulty, postgraduate year, and resident surgeon stress: effects on operative times","volume":"76","author":"J A Quick","year":"2019","journal-title":"J Surg Educ"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1016\/j.jss.2013.06.056","article-title":"Variations in procedure time based on surgery resident postgraduate year level","volume":"185","author":"J J Johnson","year":"2013","journal-title":"J Surg Res"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1097\/SLA.0000000000004425","article-title":"Machine learning for surgical phase recognition: a systematic review","volume":"273","author":"C R Garrow","year":"2021","journal-title":"Ann 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