Saithna Adnan, Dekker Andrew Peter
Department of Lower Limb Arthroplasty, University Hospital Coventry and Warwick, Coventry.
Comput Aided Surg. 2009;14(4-6):117-22. doi: 10.3109/10929080903444440.
Computer navigation in arthroplasty surgery is a form of concurrent augmented feedback. Motor learning theory suggests such feedback may be detrimental to learning as a result of the learner either developing a dependence on the additional feedback or being distracted from using intrinsic feedback. To determine whether computer navigation influences the learning curve of novices performing hip resurfacing arthroplasty, a systematic review and critical appraisal of the current English-language literature on the topic was conducted. There is some evidence that use of navigation by trainees facilitates more accurate placement of arthroplasty components as compared to conventional instrumentation. However, there is no evidence that training with computer navigation impairs performance in retention or transfer tests. Thus, although the published literature has significant limitations, there is no evidence that supports concerns regarding the impact of computer navigation on the learning curve of arthroplasty trainees.
关节置换手术中的计算机导航是一种同步增强反馈形式。运动学习理论表明，这种反馈可能对学习有害，原因是学习者要么会对额外反馈产生依赖，要么会因之而无法专注于利用内在反馈。为了确定计算机导航是否会影响初次进行髋关节表面置换手术者的学习曲线，我们对该主题当前的英文文献进行了系统综述和批判性评价。有一些证据表明，与传统器械相比，学员使用导航有助于更准确地放置关节置换部件。然而，没有证据表明计算机导航训练会损害在记忆或迁移测试中的表现。因此，尽管已发表的文献有显著局限性，但没有证据支持对计算机导航对关节置换手术学员学习曲线影响的担忧。
