MIS IN THE WORLD 2019

56 responses

Your nationality

56 out of 56 answered

1
French
21% / 12 resp.
2
Brazilian
8% / 5 resp.
3
Moroccan
7% / 4 resp.
4
American
5% / 3 resp.
5
Belgian
5% / 3 resp.
6
German
5% / 3 resp.
7
Spanish
5% / 3 resp.
8
Argentinian
3% / 2 resp.
9
English
1% / 1 resp.
10
Japanese
1% / 1 resp.
11
Chinese
0% / 0 resp.
12
Other
33% / 19 resp.

Sex

56 out of 56 answered

1
Male
91% / 51 resp.
2
Female
8% / 5 resp.

Your practice

56 out of 56 answered

1
Private
66% / 37 resp.
2
Both
26% / 15 resp.
3
Public
19% / 11 resp.
4
University
12% / 7 resp.
5
Other
0% / 0 resp.

How did you discover percutaneous surgery (PS)?

55 out of 56 answered

1
Conference
38% / 21 resp.
2
Friend
30% / 17 resp.
3
Literature
9% / 5 resp.
4
Website
5% / 3 resp.
5
Company
3% / 2 resp.
6
Other
12% / 7 resp.

How did you learn PS?

54 out of 56 answered

1
Course + Cadaver Lab
61% / 33 resp.
2
Fellowship
27% / 15 resp.
3
Books / Literature
5% / 3 resp.
4
Conference
3% / 2 resp.
5
Theorical course
1% / 1 resp.
6
As a registrar
0% / 0 resp.
7
Other
0% / 0 resp.

How did you start?

56 out of 56 answered

1
Alone
57% / 32 resp.
2
With an experimented surgeon (in PS)
26% / 15 resp.
3
With colleague
16% / 9 resp.

What was your first interest?

56 out of 56 answered

1
First ray
26% / 15 resp.
2
DMMO + toe
25% / 14 resp.
3
Forefoot
16% / 9 resp.
4
All
14% / 8 resp.
5
Lesser metatarsal DMMO
10% / 6 resp.
6
Lesser toe
7% / 4 resp.
7
Hindfoot
0% / 0 resp.
8
Midfoot
0% / 0 resp.

If you started with 1 topic only, when did you move to the next steps?

30 out of 56 answered

1
I did not
100% / 30 resp.

Was taking up a new technique

55 out of 56 answered

1
Easy
52% / 29 resp.
2
Difficult
41% / 23 resp.
3
Very difficult
5% / 3 resp.
4
Impossible
0% / 0 resp.

Have you experienced difficulty introducing new techniques?

47 out of 56 answered

1
from colleagues
55% / 26 resp.
2
from your national F&A society
27% / 13 resp.
3
from hospital management
19% / 9 resp.
4
from outside of your hospital
14% / 7 resp.
5
from funding sources (insurance or government)
12% / 6 resp.

When introducing a new technique, do you think

54 out of 56 answered

1
You must attend a cadaveric course first
79% / 43 resp.
2
You should inform the patient you'll be operating with this new technique
14% / 8 resp.
3
You should follow your national guidelines (if relevant)
5% / 3 resp.
4
You need to inform your hospital management when introducing a new technique
0% / 0 resp.

Do you think GRECMIP should offer guidelines on developing new MIS techniques? If YES, would you consider recommending:

54 out of 56 answered

1
to attend a GRECMIP approved course before taking up any technique
55% / 30 resp.
2
to establish some universal guidelines by introducing new techniques
24% / 13 resp.
3
to establish a framework to share outcomes on MIS surgery (subject to data protection laws)
18% / 10 resp.
4
support for funding recognition
1% / 1 resp.

What was your difficulty to start with?

55 out of 56 answered

1
Learning curve
67% / 37 resp.
2
Material such as power tools and burrs
36% / 20 resp.
3
Access to Cadaver Lab to practice
30% / 17 resp.
4
Animosity from colleagues
16% / 9 resp.
5
Practice
14% / 8 resp.
6
Support from you own society
10% / 6 resp.
7
Support from hospital
7% / 4 resp.
8
Support from company or colleague
3% / 2 resp.

Do you have Guidelines for PS in your country?

55 out of 56 answered

1
No
76% / 42 resp.
2
Yes
23% / 13 resp.

What is your daily practice like?

55 out of 56 answered

1
I perform a mixed surgery (PS and MIS) in Hallux
52% / 29 resp.
2
I perform everything PS
36% / 20 resp.
3
I only perform lesser ray
9% / 5 resp.
4
I only perform first ray
1% / 1 resp.

First ray procedure / Reverdin Isham (your % in "Other")

54 out of 56 answered

1
No
59% / 32 resp.
2
Yes
33% / 18 resp.
3
Other
7% / 4 resp.

First ray procedure / Percutaneous Chevron (your % in "Other")

46 out of 56 answered

1
Yes
54% / 25 resp.
2
No
41% / 19 resp.
3
Other
4% / 2 resp.

First ray procedure / Basal Osteotomy (your % in "Other")

48 out of 56 answered

1
No
62% / 30 resp.
2
Yes
31% / 15 resp.
3
Other
6% / 3 resp.

First ray procedure / Lapidus (your % in "Other")

46 out of 56 answered

1
No
73% / 34 resp.
2
Yes
19% / 9 resp.
3
Other
6% / 3 resp.

First ray procedure / 1st MTP Fusion (your % in "Other")

47 out of 56 answered

1
No
57% / 27 resp.
2
Yes
36% / 17 resp.
3
Other
6% / 3 resp.

First ray procedure / Percutaneous Scarf (your % in "Other")

52 out of 56 answered

1
No
88% / 46 resp.
2
Yes
9% / 5 resp.
3
Other
1% / 1 resp.

First ray procedure / Open Procedure (your % in "Other")

46 out of 56 answered

1
Yes
47% / 22 resp.
2
No
43% / 20 resp.
3
Other
8% / 4 resp.

Your technique on Lesser Metatarsal / DMMO (your % in "Other")

47 out of 56 answered

1
Yes
93% / 44 resp.
2
No
0% / 0 resp.
3
Other
6% / 3 resp.

Your technique on Lesser Metatarsal / WEIL (your % in "Other")

50 out of 56 answered

1
No
56% / 28 resp.
2
Yes
38% / 19 resp.
3
Other
6% / 3 resp.

Your technique on Lesser Toes / Percutaneous procedure (your % in "Other")

49 out of 56 answered

1
Yes
91% / 45 resp.
2
No
2% / 1 resp.
3
Other
6% / 3 resp.

Lesser Toes / Percutaneous procedure / P1 Basal closing wedge

55 out of 56 answered

1
Plantar approach
54% / 30 resp.
2
Dorsal approach
45% / 25 resp.

Lesser Toes / Percutaneous procedure / PIP Fusion

47 out of 56 answered

1
With dressing
68% / 32 resp.
2
With K-wire
31% / 15 resp.

Lesser Toes / Percutaneous procedure / P2 Osteotomy

55 out of 56 answered

1
Yes
89% / 49 resp.
2
No
10% / 6 resp.

Lesser Toes / Percutaneous procedure / Isolated flexor brevis section (your % in "Other")

55 out of 56 answered

1
Yes
67% / 37 resp.
2
No
32% / 18 resp.

Lesser Toes / Percutaneous procedure / Isolated flexor longus section (your % in "Other")

55 out of 56 answered

1
Yes
54% / 30 resp.
2
No
45% / 25 resp.

Lesser Toes / Percutaneous procedure / Both (your % in "Other")

54 out of 56 answered

1
Yes
83% / 45 resp.
2
No
16% / 9 resp.

Lesser Toes / Open procedure (your % in "Other")

50 out of 56 answered

1
No
76% / 38 resp.
2
Yes
20% / 10 resp.
3
Other
4% / 2 resp.

Lesser Toes / Open procedure

36 out of 56 answered

1
PIP implant fusion
75% / 27 resp.
2
Tendon transfer
25% / 9 resp.