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Arthroscopic skills assessment and use of box model for training in arthroscopic surgery using Sawbones - "FAST" workstation.

作者信息

Goyal Saumitra, Radi Mohamed Abdel, Ramadan Islam Karam-Allah, Said Hatem Galal

机构信息

Orthopaedics Department, Faculty of Medicine, Assiut University Hospital, Assiut 71515, Egypt - G.G. Medical Institute and Research Centre, 106/2 Sanjay Place, Agra 282004, India.

Arthroscopy & Sports Injuries Unit, Orthopaedics Department, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.

出版信息

SICOT J. 2016;2:37. doi: 10.1051/sicotj/2016024. Epub 2016 Nov 1.


DOI:10.1051/sicotj/2016024
PMID:27801643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5089855/
Abstract

PURPOSE: Arthroscopic skills training outside the operative room may decrease risks and errors by trainee surgeons. There is a need of simple objective method for evaluating proficiency and skill of arthroscopy trainees using simple bench model of arthroscopic simulator. The aim of this study is to correlate motor task performance to level of prior arthroscopic experience and establish benchmarks for training modules. METHODS: Twenty orthopaedic surgeons performed a set of tasks to assess a) arthroscopic triangulation, b) navigation, c) object handling and d) meniscus trimming using SAWBONES "FAST" arthroscopy skills workstation. Time to completion and the errors were computed. The subjects were divided into four levels; "Novice", "Beginner", "Intermediate" and "Advanced" based on previous arthroscopy experience, for analyses of performance. RESULTS: The task performance under transparent dome was not related to experience of the surgeon unlike opaque dome, highlighting the importance of hand-eye co-ordination required in arthroscopy. Median time to completion for each task improved as the level of experience increased and this was found to be statistically significant (p < .05) e.g. time for maze navigation (Novice - 166 s, Beginner - 135.5 s, Intermediate - 100 s, Advance - 97.5 s) and the similar results for all tasks. Majority (>85%) of subjects across all the levels reported improvement in performance with sequential tasks. CONCLUSION: Use of the arthroscope requires visuo-spatial coordination which is a skill that develops with practice. This simple box model can reliably differentiate the arthroscopic skills based on experience and can be used to monitor progression of skills of trainees in institutions.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/1be2b5ff645b/sicotj-2-37-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/f273874cd94d/sicotj-2-37-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/06775eaf500b/sicotj-2-37-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/ac8418f70dbe/sicotj-2-37-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/1be2b5ff645b/sicotj-2-37-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/f273874cd94d/sicotj-2-37-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/06775eaf500b/sicotj-2-37-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/ac8418f70dbe/sicotj-2-37-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a3f/5089855/1be2b5ff645b/sicotj-2-37-fig4.jpg

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Arthroscopic skills assessment and use of box model for training in arthroscopic surgery using Sawbones - "FAST" workstation.

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[8]
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本文引用的文献

[1]
Transfer of arthroscopic skills from computer simulation training to the operating theatre: a review of evidence from two randomised controlled studies.

SICOT J. 2016-2-2

[2]
Surgical skills simulation in trauma and orthopaedic training.

J Orthop Surg Res. 2014-12-19

[3]
Fundamental arthroscopic skill differentiation with virtual reality simulation.

Arthroscopy. 2015-2

[4]
Development and validation of a basic arthroscopy skills simulator.

Arthroscopy. 2015-1

[5]
Evaluation of a virtual-reality-based simulator using passive haptic feedback for knee arthroscopy.

Knee Surg Sports Traumatol Arthrosc. 2015-4

[6]
Arthroscopic proficiency: methods in evaluating competency.

BMC Med Educ. 2013-5-1

[7]
A systematic review on low-cost box models to achieve basic and advanced laparoscopic skills during modern surgical training.

Surg Laparosc Endosc Percutan Tech. 2013-4

[8]
Current and future use of surgical skills training laboratories in orthopaedic resident education: a national survey.

J Bone Joint Surg Am. 2013-1-2

[9]
Validation of a global assessment of arthroscopic skills in a cadaveric knee model.

Arthroscopy. 2012-11-20

[10]
The internal validity of arthroscopic simulators and their effectiveness in arthroscopic education.

Knee Surg Sports Traumatol Arthrosc. 2014-1

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