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一种新型广角关节镜系统:与传统30°关节镜系统的比较研究。

A new wide-angle arthroscopic system: a comparative study with a conventional 30° arthroscopic system.

作者信息

Jung Kyunghwa, Kang Dong-Ju, Kekatpure Aashay L, Adikrishna Arnold, Hong Jaesung, Jeon In-Ho

机构信息

Department of Robotics Engineering, Daegu Gyeongbuk Institute of Science and Technology (DGIST), 333, Techno-jungang-daero, Hyeonpung-myeon, Dalseong-gun, Daegu, 711-873, Korea.

MGB Endoscopy Co. Ltd, Seoul, Korea.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2016 May;24(5):1722-9. doi: 10.1007/s00167-015-3967-z. Epub 2016 Jan 8.


DOI:10.1007/s00167-015-3967-z
PMID:26745963
Abstract

PURPOSE: To compare users' hand movements in performing validated shoulder arthroscopic tasks between a 30° and a wide-angle arthroscopic system, using phantom models with an optical motion analysis system. METHODS: Twelve orthopaedic residents were enrolled and randomly allocated into two groups. In order to compensate for any learning effect, a Latin square counterbalancing technique was used. An optical motion analysis system was used with markers affixed to pre-designed sites; each participant conducted four validated shoulder arthroscopic tasks using both arthroscopic systems. Each participant was instructed to perform the experiment three times with each arthroscope. The time taken, total path length, number of movements, and average acceleration were analysed. RESULTS: Significant differences were observed for the time taken, number of movements, and average acceleration between the two arthroscopic systems (P < 0.05 for all). However, the time taken was not significant. The mean total path length measured 53 ± 38 cm with the 30° arthroscope, while the mean with the wide-angle arthroscope was significantly shorter, at 36 ± 22 cm. The mean number of movements with the 30° and wide-angle arthroscopes were 1974 ± 1305 and 1233 ± 990, respectively, while the average accelerations were 2.6 ± 1.3 and 1.2 ± 0.6 cm/s(2), respectively. The mean time taken was 13 % faster when using the wide-angle arthroscopic system, although this was not statistically significant. CONCLUSION: The wide-angle arthroscopic system improved the arthroscope manoeuvre in terms of the total path length, number of movements, and average acceleration required for experimental arthroscopy. This system may help surgeons triangulate the arthroscope and surgical instruments during surgery by expanding the field of view.

摘要

目的:使用带有光学运动分析系统的模拟模型,比较用户在使用30°关节镜系统和广角关节镜系统执行经过验证的肩部关节镜任务时的手部动作。 方法:招募了12名骨科住院医师并随机分为两组。为了补偿任何学习效应,采用了拉丁方平衡技术。使用光学运动分析系统,将标记物粘贴在预先设计的部位;每位参与者使用两种关节镜系统进行四项经过验证的肩部关节镜任务。每位参与者被指示使用每种关节镜进行三次实验。分析了所用时间、总路径长度、动作次数和平均加速度。 结果:在两种关节镜系统之间,观察到所用时间、动作次数和平均加速度存在显著差异(所有P<0.05)。然而,所用时间不显著。使用30°关节镜时,平均总路径长度为53±38cm,而使用广角关节镜时平均明显更短,为36±22cm。使用30°和广角关节镜时的平均动作次数分别为1974±1305和1233±990,而平均加速度分别为2.6±1.3和1.2±0.6cm/s²。使用广角关节镜系统时平均所用时间快13%,尽管这在统计学上不显著。 结论:广角关节镜系统在实验性关节镜检查所需的总路径长度、动作次数和平均加速度方面改善了关节镜操作。该系统可能有助于外科医生在手术过程中通过扩大视野来使关节镜和手术器械形成三角定位。

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引用本文的文献

[1]
HAPPY: Hip Arthroscopy Portal Placement Using Augmented Reality.

J Imaging. 2022-11-6

[2]
Navigation-assisted anchor insertion in shoulder arthroscopy: a validity study.

BMC Musculoskelet Disord. 2020-12-5

[3]
Navigation-assisted suture anchor insertion for arthroscopic rotator cuff repair.

BMC Musculoskelet Disord. 2019-12-29

[4]
Improvement of arthroscopic surgical performance using a new wide-angle arthroscope in the surgical training.

PLoS One. 2019-3-11

[5]
The Dimensionless Squared Jerk: An Objective Parameter That Improves Assessment of Hand Motion Analysis during Simulated Shoulder Arthroscopy.

Biomed Res Int. 2018-7-11

[6]
A hands-free region-of-interest selection interface for solo surgery with a wide-angle endoscope: preclinical proof of concept.

Surg Endosc. 2017-2

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