Shi Jian, Cavagnaro María José, Xu Shaokang, Zhao Mingyi
Department of Spine Surgery, The Third Xiangya Hospital, Central South University, Changsha, China.
College of Medicine-Phoenix, The University of Arizona, Phoenix, AZ, United States.
Front Bioeng Biotechnol. 2022 Mar 22;10:852608. doi: 10.3389/fbioe.2022.852608. eCollection 2022.
Orthopedics is a medical specialty that focuses on the clinical treatment and care of the musculoskeletal system. Orthopedics is a medical specialty which specializing in the clinical treatment and nursing of musculoskeletal system. The education of orthopedics is often serious and difficult because of the high technical requirements, complicated anatomical knowledge and long study process. However, medical students or junior residents rarely have the opportunity to see such orthopedic surgery or attend preclinical practice, which limits the opportunities for training clinicians. Hopefully, with the increasing use of three-dimensional (3D) technologies in medical teaching, this situation can be alleviated. In this study, we demonstrate that different 3D technologies can effectively simulate orthopedic surgery with very high accuracy. We carefully evaluated the use of 3D technologies in primary medical teaching and proposed a vision for the future. We searched and screened 3,997 publications from the Web of Science Core Collection (WoSCC) on 22 Oct 2021 with (trauma) AND ((education) OR (training) OR (teaching) OR (learning)) AND ((3D) OR (Three Dimensional)), (Joint) AND ((education) OR (training) OR (teaching) OR (learning)) AND ((3D) OR (Three Dimensional)), (spine) AND ((education) OR (training) OR (teaching) OR (learning)) AND ((3D) OR (Three Dimensional)) as the search strategy. Then, we eliminated the publications irrelevant to "orthopedics" AND/OR "orthopaedic" (in United Kingdom English), the final number of publications are 440 for trauma surgery, 716 for joint surgery and 363 for spine surgery, a visual display of comprehensive information analysis was made by VOSviewer. Next, we read and analyzed retrieved articles extensively according to the selection criteria, 11 highly cited publications on three major branches of orthopedics were chosen. The extracted data included the authors, purpose, methods, results and benefits/limitations. The evaluation of these studies directly and objectively proved the superiority of 3D technologies in orthopedics. Furthermore, the material usage and strength of 3D technologies can be closer to the real situation, which will help improve their effectiveness in teaching. We hope that more relevant studies will be conducted to continue examining the effects of 3D technologies on orthopedic medical education as well as orthopedic surgery training, and we hope that this technique can be more widely used in the clinical teaching of orthopedics to train clinicians on learning medical theory and surgical technology quickly and efficiently.
骨科是一门专注于肌肉骨骼系统临床治疗与护理的医学专业。骨科是一门专门从事肌肉骨骼系统临床治疗与护理的医学专业。由于技术要求高、解剖知识复杂且学习过程漫长，骨科教育往往既严肃又困难。然而，医学生或初级住院医生很少有机会观摩此类骨科手术或参加临床前实践，这限制了临床医生的培训机会。有望随着三维（3D）技术在医学教学中的日益应用，这种情况能够得到缓解。在本研究中，我们证明不同的3D技术能够以非常高的精度有效模拟骨科手术。我们仔细评估了3D技术在基础医学教学中的应用，并提出了未来展望。我们于2021年10月22日在科学引文索引核心合集（WoSCC）中以（创伤）AND（（教育）OR（培训）OR（教学）OR（学习））AND（（3D）OR（三维））、（关节）AND（（教育）OR（培训）OR（教学）OR（学习））AND（（3D）OR（三维））、（脊柱）AND（（教育）OR（培训）OR（教学）OR（学习））AND（（3D）OR（三维））作为检索策略，搜索并筛选了3997篇文献。然后，我们剔除了与“orthopedics”和/或“orthopaedic”（英式英语）无关的文献，创伤手术的最终文献数量为440篇，关节手术为716篇，脊柱手术为363篇，使用VOSviewer对综合信息分析进行了可视化展示。接下来，我们根据入选标准广泛阅读并分析检索到的文章，挑选了11篇关于骨科三个主要分支的高被引文献。提取的数据包括作者、目的、方法、结果以及益处/局限性。对这些研究的评估直接且客观地证明了3D技术在骨科中的优越性。此外，3D技术的材料使用和强度可以更接近实际情况，这将有助于提高其在教学中的有效性。我们希望开展更多相关研究，继续考察3D技术对骨科医学教育以及骨科手术培训的影响，并且希望这项技术能够在骨科临床教学中得到更广泛应用，以便快速且高效地培养临床医生学习医学理论和手术技术。
