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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Comment Re: 'The use of a silicone flexor tendon as a teaching model for flexor tendon repair: A clear view.'
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Comment Re: 'The use of a silicone flexor tendon as a teaching model for flexor tendon repair: A clear view.'

机译：评论：“使用硅树脂屈肌腱作为屈肌腱修复的教学模型：一个清晰的视图。”

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Dear Sir, The September issue of JPRAS contained the article "The use of a silicone flexor tendon as a teaching model for flexor tendon repair - A clear view". The authors suggest that they present "a new teaching model ... allowing a full unobstructed assessment of tendon repair and appreciation of the techniques demonstrated", but do not refer to work published in 2009 by our group, which presented a virtually identical model. It is apparent that surgical training models, and models that can be used for the objective validation of competencies are of increasing importance. The use of silicone to prepare transparent tendon models for the teaching & rehearsal of flexor tendon repair therefore has several potential advantages, but these were presented in 2009. Furthermore we would argue that the method presented by Holmes et al. does not fulfil their stated aim of a model that is simple to construct. The requirement for a dental putty mould to first be "made by vacuum forming a thermoplastic material over 'tendons' which were then removed..." and for subsequent use of a proprietary medical prosthetic grade "uncured fluid silicone...[to be] poured into the moulds and left to cure before being removed and trimmed" seems rather complex compared to the method presented in 2009. That employed cheap and widely available clingfilm and clear bathroom silicon sealant, with use of its own applicator nozzle to rapidly generate large numbers of "tendons" of various diameters and length without need for human tissue access, consent, or the cost of prosthetics staff and materials.
机译：尊敬的主席先生，JPRAS的9月号包含“使用硅树脂屈肌腱作为屈肌腱修复的教学模型-清晰的观点”一文。作者建议他们提出“一种新的教学模型……可以对肌腱修复进行全面的评估，并对所展示的技术进行欣赏”，但并未提及我们小组在2009年发表的工作，该论文提出了几乎相同的模型。显然，外科手术训练模型以及可用于能力客观验证的模型变得越来越重要。因此，使用硅树脂制备透明的肌腱模型以进行屈肌腱修复的教学和排练具有多个潜在优势，但这些优势已在2009年提出。此外，我们认为Holmes等人提出的方法是可行的。不能实现其简单构建模型的既定目标。牙科腻子模具的要求首先要“通过在'腱'上真空成型热塑性材料，然后将其去除而制成...”，然后要求使用专有的医疗修复级“未固化的流体硅树脂...”。 ]倒入模具中，然后在去除和修整之前进行固化”，与2009年提出的方法相比，似乎相当复杂。该方法采用便宜且广泛使用的保鲜膜和透明浴室硅密封胶，并使用自己的涂胶喷嘴快速生成大量数量众多的各种直径和长度的“肌腱”，无需人体组织进入，无需同意，也无需修复人员和材料的成本。

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