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如何使用牛膝关节模型创建一个关节镜训练实验室。

How to Create an Arthroscopy Training Laboratory Using a Bovine Knee Model.

作者信息

Rocha de Faria José Leonardo, Pavão Douglas Mello, de Sousa Eduardo Branco, Mozella Alan de Paula, Leal Ana Carolina, Guimarães João Antônio Matheus, Salim Rodrigo, Villardi Alfredo Marques, Valente Phelippe Augusto Maia, Miranda Vitor, Mandarino Marcelo

机构信息

National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro.

Orthopedics, Medical Science Faculty, State University of Rio de Janeiro, Rio de Janeiro.

出版信息

Arthrosc Tech. 2021 Jun 20;10(7):e1865-e1871. doi: 10.1016/j.eats.2021.04.007. eCollection 2021 Jul.

DOI:10.1016/j.eats.2021.04.007
PMID:34336587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8322705/
Abstract

Orthopaedic surgeries by video arthroscopy have become increasingly popular, as they allow joint treatment through small incisions and minimal tissue damage. However, their execution requires specific skills from the surgeon, different from open surgery, which can only be achieved through practical training. These skills would be ideally performed on human cadaveric anatomical pieces which, however, can be difficult to access for different reasons. Animal anatomical models for surgical skills training have been used for years in medicine, and we observed that the bovine knee has anatomical characteristics quite similar to that of the human knee. In this study, we explain, step by step, the installation and creation of an arthroscopy laboratory with a bovine model, in an effort to contribute to several training centers in arthroscopic surgery around the world, assisting and guiding such centers to install arthroscopy laboratories and facilitating the improvement of more surgeons.

摘要

通过视频关节镜进行的骨科手术越来越受欢迎,因为它们允许通过小切口和最小的组织损伤来治疗关节。然而,与开放手术不同,其实施需要外科医生具备特定技能,而这只能通过实践培训来实现。这些技能最好在人体尸体解剖标本上进行练习,然而,由于各种原因,这些标本可能难以获取。用于手术技能培训的动物解剖模型在医学中已经使用多年,我们观察到牛膝关节的解剖特征与人类膝关节非常相似。在本研究中,我们逐步解释了使用牛模型建立关节镜实验室的过程,旨在为世界各地的多个关节镜手术培训中心做出贡献,协助和指导这些中心建立关节镜实验室,并促进更多外科医生的技能提升。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/a6b54dc18090/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/489117d9a188/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/c968baa4cdd2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/5f25f0ecc047/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/a6b54dc18090/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/489117d9a188/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/c968baa4cdd2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/5f25f0ecc047/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b61a/8322705/a6b54dc18090/gr4.jpg

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The Efficacy of Arthroscopic Simulation Training on Clinical Ability: A Systematic Review.关节镜模拟训练对临床能力的疗效:系统评价。
Arthroscopy. 2021 Mar;37(3):1000-1007.e1. doi: 10.1016/j.arthro.2020.09.018. Epub 2020 Nov 18.
3
Outside-in Continuous Meniscal Suture Technique of the Knee.膝关节半月板由外向内连续缝合技术
Arthrosc Tech. 2020 Oct 22;9(10):e1547-e1552. doi: 10.1016/j.eats.2020.06.018. eCollection 2020 Oct.
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Vertical Continuous Meniscal Suture Technique.垂直连续半月板缝合技术
Arthrosc Tech. 2020 Sep 10;9(9):e1335-e1340. doi: 10.1016/j.eats.2020.05.014. eCollection 2020 Sep.
5
Continuous Meniscal Suture Technique of the Knee.膝关节半月板连续缝合技术
Arthrosc Tech. 2020 May 14;9(6):e791-e796. doi: 10.1016/j.eats.2020.02.011. eCollection 2020 Jun.
6
Validation of Simendo Knee Arthroscopy Virtual Reality Simulator.Simendo 膝关节镜虚拟现实模拟器验证。
Arthroscopy. 2019 Aug;35(8):2385-2390. doi: 10.1016/j.arthro.2019.01.031. Epub 2019 Apr 30.
7
Objectively Assessing Intraoperative Arthroscopic Skills Performance and the Transfer of Simulation Training in Knee Arthroscopy: A Randomized Controlled Trial.客观评估膝关节镜手术中的关节镜技能表现和模拟训练的转移:一项随机对照试验。
Arthroscopy. 2019 Apr;35(4):1197-1209.e1. doi: 10.1016/j.arthro.2018.11.035. Epub 2019 Mar 14.
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Evaluation of arthroscopic training using a porcine knee model.使用猪膝关节模型对关节镜训练进行评估。
J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499016684433. doi: 10.1177/2309499016684433.
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Training models for meniscal repairs and small joint arthroscopy.训练半月板修复和小关节关节镜检查的模型。
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