• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Arthroscopy Skills Development with a Surgical Simulator: A Comparative Study in Orthopaedic Surgery Residents
【24h】

Arthroscopy Skills Development with a Surgical Simulator: A Comparative Study in Orthopaedic Surgery Residents

机译：手术模拟器在关节镜检查技能方面的发展：骨科手术患者的比较研究

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: Traditional resident assessment of orthopaedic surgical technical proficiency relies exclusively on subjective parameters. More standardized objective measures are needed to ensure training consistency and surgical competency. The purpose of this study was to determine if orthopaedic surgery residents who train with a virtual reality simulator can lead to improved arthroscopy performance and to determine if a standardized arthroscopic shoulder and knee test were appropriate means for evaluating a resident's arthroscopic skill after completing a training course. Methods: Study participants were first and second year orthopaedic surgery residents at a single institution who were randomized to either train on the virtual reality surgical simulator ( Insight Arthro VR ) for a total of 2.5 hours (n=8) or receive 2 hours of didactic lectures with models (non-simulator) (n=6). Both groups were then evaluated in both knee and shoulder arthroscopy using a cadaver. Performance was measured by time to completion of a standardized protocol checklist and cartilage grading index (CGI) (scale 0-10). Results: All subjects had no previous arthroscopy experience prior to the study. The simulator group had a shorter time to completion in both knee (simulator: 5.1 ± 1.8 min, non-simulator: 8.0 ± 4.4 min; p=0.09) and shoulder (simulator: 6.1 ± 1.5 min, non-simulator: 9.9 ± 3.2 min; p=0.02) arthroscopy. Similarly, the simulator group had improved CGI scores in both the knee (simulator: 4.0 ± 1.1, non-simulator: 5.3 ± 1.5; p=0.07) and shoulder (simulator: 3.4 ± 0.8, non-simulator: 5.5 ± 1.6; p=0.008) arthroscopy. Conclusion: This study suggests that surgical simulators are beneficial in arthroscopy skills development for orthopaedic surgery residents. An arthroscopic testing model was able to measure a statistical improvement for a resident's arthroscopic skill. Instituting standardized cadaveric testing based on common orthopaedic surgical procedures such as knee and shoulder arthroscopy will not only ensure graduating residents possess the necessary skills to be technically proficient surgeons but it will also allow objective identification of residents in need of remediation.
机译：目标：传统的住院医师对骨科手术技术水平的评估完全依靠主观参数。需要采取更加标准化的客观措施来确保培训的一致性和手术能力。这项研究的目的是确定使用虚拟现实模拟器训练的骨科手术住院患者是否可以改善关节镜检查性能，并确定标准化的关节镜检查肩膀和膝盖测试是否适合在完成培训课程后评估居民的关节镜检查技能。方法：研究参与者是同一机构的第一年和第二年的整形外科住院医师，他们被随机分配在虚拟现实手术模拟器（Insight Arthro VR）上训练总计2.5小时（n = 8）或接受2小时的教学使用模型（非模拟器）进行讲座（n = 6）。然后使用尸体在膝关节和肩关节镜下对两组进行评估。通过完成标准化协议清单和软骨分级指数（CGI）（0-10级）的时间来衡量性能。结果：所有受试者在研究之前均没有关节镜检查经验。模拟器组的膝盖和膝部（模拟器：5.1±1.8分钟，非模拟器：8.0±4.4分钟; p = 0.09）和肩膀（模拟器：6.1±1.5分钟，非模拟器：9.9±3.2）的完成时间较短。 min; p = 0.02）关节镜检查。同样，模拟器组的膝盖（模拟器：4.0±1.1，非模拟器：5.3±1.5; p = 0.07）和肩膀（模拟器：3.4±0.8，非模拟器：5.5±1.6; p）的CGI得分均得到改善。 = 0.008）关节镜检查。结论：这项研究表明，手术模拟器对骨科手术住院医师的关节镜检查技能发展有益。关节镜检查模型能够测量出居民的关节镜检查技巧的统计改进。根据常见的骨科外科手术程序（例如膝关节和肩关节镜）建立标准化的尸体测试，不仅可以确保即将毕业的居民具备成为熟练技术外科医生的必要技能，而且还可以客观地识别需要补救的居民。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号