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如何构建你的简易且经济高效的关节镜技能模拟器。

How to Build Your Simple and Cost-effective Arthroscopic Skills Simulator.

作者信息

Arealis Georgios, Holton James, Rodrigues Joana Bento, Sagkrioti Maria, Snow Martyn, Hamlet Mark, Levy Ofer

机构信息

Reading Shoulder Unit, Royal Berkshire and Berkshire Independent Hospital, Reading, England; Hereford County Hospital, Hereford, England.

Reading Shoulder Unit, Royal Berkshire and Berkshire Independent Hospital, Reading, England; Arthroscopy Knee & Shoulder, Royal Orthopaedic Hospital, Birmingham, England.

出版信息

Arthrosc Tech. 2016 Sep 12;5(5):e1039-e1047. doi: 10.1016/j.eats.2016.05.006. eCollection 2016 Oct.

DOI:10.1016/j.eats.2016.05.006
PMID:27909673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5124063/
Abstract

Acquisition of arthroscopic skills is not always easy and can be time-consuming. Simulation in arthroscopy improves surgical skills and can bridge the gap between reduced surgical exposure and training time and the need to reach a required level of competency. We propose a method to create a simple and cost-effective arthroscopic skills simulator using readily available materials and a low-cost Web camera available from online shops. This arthroscopic simulation device can be used to improve skills of all levels of trainees at home, in a bioskills laboratory, or in the theater. It can also be used by experienced surgeons to train with instruments and devices before using them for the first time in theaters, thus ensuring safe use and improving patient safety. Further validation as a training tool is needed and should be the focus of additional research, but early results are very promising.

摘要

掌握关节镜技术并非总是易事,而且可能耗时较长。关节镜模拟可提高手术技能,并能弥合手术暴露减少、训练时间有限与达到所需技能水平的需求之间的差距。我们提出一种方法,利用 readily available materials(此处可能有误,推测为“现成材料”)和网上商店有售的低成本网络摄像头,创建一个简单且经济高效的关节镜技能模拟器。这种关节镜模拟装置可用于提高各级学员在家庭、生物技能实验室或手术室的技能。经验丰富的外科医生在首次在手术室使用器械和设备之前,也可使用它进行训练,从而确保安全使用并提高患者安全性。作为一种训练工具,还需要进一步验证,这应是后续研究的重点,但早期结果非常有前景。

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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.关节镜技术从计算机模拟训练向手术室的转移:两项随机对照研究的证据综述
SICOT J. 2016 Feb 2;2:4. doi: 10.1051/sicotj/2015039.
2
Simulation Training Improves Surgical Proficiency and Safety During Diagnostic Shoulder Arthroscopy Performed by Residents.模拟训练可提高住院医师在诊断性肩关节镜检查中的手术熟练度和安全性。
Orthopedics. 2016 May 1;39(3):e479-85. doi: 10.3928/01477447-20160427-02. Epub 2016 May 2.
3
EFFECTIVENESS OF THE VIDEOARTHROSCOPY LEARNING PROCESS IN SYNTHETIC SHOULDER MODELS.视频关节镜检查在合成肩部模型中学习过程的有效性
Rev Bras Ortop. 2015 Nov 16;47(1):83-91. doi: 10.1016/S2255-4971(15)30350-5. eCollection 2012 Jan-Feb.
4
The Apprenticeship Model for Surgical Training Is Inferior.外科培训的学徒模式较差。
Arthroscopy. 2015 Oct;31(10):1847-8. doi: 10.1016/j.arthro.2015.07.014.
5
Effectiveness of Virtual Reality Training in Orthopaedic Surgery.虚拟现实训练在骨科手术中的有效性。
Arthroscopy. 2016 Jan;32(1):224-32. doi: 10.1016/j.arthro.2015.07.023. Epub 2015 Sep 26.
6
A Proficiency-Based Progression Training Curriculum Coupled With a Model Simulator Results in the Acquisition of a Superior Arthroscopic Bankart Skill Set.基于熟练度的进阶训练课程结合模型模拟器可带来卓越关节镜下Bankart手术技能的掌握。
Arthroscopy. 2015 Oct;31(10):1854-71. doi: 10.1016/j.arthro.2015.07.001. Epub 2015 Sep 2.
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A Validated Orthopaedic Surgical Simulation Model for Training and Evaluation of Basic Arthroscopic Skills.一种用于训练和评估基本关节镜技术的经过验证的骨科手术模拟模型。
J Bone Joint Surg Am. 2015 Sep 2;97(17):1465-71. doi: 10.2106/JBJS.N.01140.
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J Surg Educ. 2015 Nov-Dec;72(6):1118-23. doi: 10.1016/j.jsurg.2015.06.021. Epub 2015 Aug 19.
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Clin Orthop Relat Res. 2016 Apr;474(4):956-64. doi: 10.1007/s11999-015-4510-8.
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Patient Saf Surg. 2015 Mar 7;9:11. doi: 10.1186/s13037-015-0058-5. eCollection 2015.