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.
摘要：
这项研究旨在评估外科医生的位置对MIPO（微创钢板内固定）治疗桡骨远端骨折的手术时间的影响。假设是手术时间与外科医生相对于手术侧的位置之间存在相关性。13名外科医生(12名右撇子，1个左手）对421个桡骨远端骨折进行手术：208个右侧（R）和213个左侧（L）。外科医生站在病人的头（H）或脚（F）。测量手术时间和疤痕大小。无论操作侧（右侧或左侧），平均手术时间为35.5分钟(范围，14-71），外科医生在头部和40.5分钟（范围，11-119），外科医生在脚下。差异(5min)有统计学意义。当右侧手术时，手术时间为34.2min（范围，14-66），外科医生在头部和41.1分钟（范围，11-86）在脚下。差异(6min)有统计学意义。没有其他比较是显著的。与外科医生的经验没有相关性。考虑到1分钟的手术室时间成本在10.80欧元至29欧元之间，每个程序可以节省54欧元至145欧元。研究假设得到了证实，外科医生相对于手术侧的位置和手术持续时间之间的相关性。总之,我们建议外科医生在桡骨远端骨折MIPO的患者头部定位。
