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• W4200603487 abstract "This study aimed to decrease surgeon exposure to ionizing radiation through a new learning technique, deliberate practice, which consists in improving performance by setting goals with feedback. The hypothesis was that exposure to ionizing radiation during distal radius fracture surgery using the minimally invasive plate osteosynthesis (MIPO) technique decreased faster with deliberate practice than with naïve practice. Radiographic dosimetry was measured in the first 30 fractures operated on by MIPO by 6 surgeons. The first 3 surgeons operated naively (Group 1) and the next 3 according to the deliberate procedure (Group 2). Group 2 received weekly feedback (number of exposed hands, number of fluoroscopic views, exposure duration, and X-ray dose). An expert, using fluoroscopic images and surgical videos, provided suggestions for improvement. Mean number of exposed hands was 23.66 in Group 1 and 1.9 in Group 2. Mean number of fluoroscopic views was 78.31 and 35.0, respectively. Mean X-ray exposure time was 74.34 and 32.89 s, respectively. Mean dosimetry was 1.40 mGy (and 0.59 mGy, respectively. The hypothesis was thus confirmed: dosimetry decreased faster in Group 2 than in Group 1. Teaching this deliberate practice should be generalized, to decrease the growth phase and increase the plateau phase of the learning curve." @default.
• W4200603487 created "2021-12-31" @default.
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• W4200603487 date "2022-04-01" @default.
• W4200603487 modified "2023-10-01" @default.
• W4200603487 title "Reduction in ionizing radiation exposure during minimally invasive anterior plate osteosynthesis of distal radius fracture: Naive versus deliberate practice" @default.
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• W4200603487 doi "https://doi.org/10.1016/j.hansur.2021.12.001" @default.
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