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"Can You Feel It": An Early Experience with Simulated Vibration to Recreate Glenoid Reaming.

作者信息

Strelzow Jason A, Kusins Jonathan R, Ferreira Louis M, LeBel Marie-Eve

机构信息

The University of Chicago Medicine, Department of Orthopaedic Surgery and Rehabilitation Medicine, Chicago, Illinois.

Roth|McFarlane Hand and Upper Limb Centre, Western University, London, Ontario, Canada.

出版信息

JB JS Open Access. 2023 Jun 26;8(2). doi: 10.2106/JBJS.OA.22.00134. eCollection 2023 Apr-Jun.


DOI:10.2106/JBJS.OA.22.00134
PMID:37377860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10292736/
Abstract

UNLABELLED: When developing educational simulators, meaningful haptic feedback is important. To our knowledge, no shoulder arthroplasty surgical simulator exists. This study focuses on simulating vibration haptics of glenoid reaming for shoulder arthroplasty using a novel glenoid reaming simulator. METHODS: We validated a novel custom simulator constructed using a vibration transducer transmitting simulated reaming vibrations to a powered nonwearing reamer tip through a 3D-printed glenoid. Validation and system fidelity were evaluated by 9 fellowship-trained shoulder surgeon experts performing a series of simulated reamings. We then completed the validation process through a questionnaire focused on experts' experience with the simulator. RESULTS: Experts correctly identified 52% ± 8% of surface profiles and 69% ± 21% of cartilage layers. Experts identified the vibration interface between simulated cartilage and subchondral bone (77% ± 23% of the time), indicating high fidelity for the system. An interclass correlation coefficient for experts' reaming to the subchondral plate was 0.682 (confidence interval 0.262-0.908). On a general questionnaire, the perceived utility of the simulator as a teaching tool was highly ranked (4/5), and experts scored "ease of instrument manipulation" (4.19/5) and "realism of the simulator" (4.11/5) the highest. The mean global evaluation score was 6.8/10 (range 5-10). CONCLUSIONS: We examined a simulated glenoid reamer and feasibility of haptic vibrational feedback for training. Experts validated simulated vibration feedback for glenoid simulation reaming, and the results suggested that this may be a useful additional training adjuvant. LEVEL OF EVIDENCE: Level II, prospective study.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eae/10292736/fab369eb69c4/jbjsoa-8-e22.00134-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eae/10292736/7b2ed64f8f19/jbjsoa-8-e22.00134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eae/10292736/fab369eb69c4/jbjsoa-8-e22.00134-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eae/10292736/7b2ed64f8f19/jbjsoa-8-e22.00134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eae/10292736/fab369eb69c4/jbjsoa-8-e22.00134-g002.jpg

相似文献

[1]
"Can You Feel It": An Early Experience with Simulated Vibration to Recreate Glenoid Reaming.

JB JS Open Access. 2023-6-26

[2]
Development of a vibration haptic simulator for shoulder arthroplasty.

Int J Comput Assist Radiol Surg. 2018-3-17

[3]
Glenoid morphology after reaming in computer-simulated total shoulder arthroplasty.

J Shoulder Elbow Surg. 2012-4-21

[4]
Risk of Perforation Is High During Corrective Reaming of Retroverted Glenoids: A Computer Simulation Study.

Clin Orthop Relat Res. 2018-8

[5]
A 3-dimensional comparison of hand and power reamers in accuracy of glenoid retroversion correction.

J Shoulder Elbow Surg. 2019-10-24

[6]
Version Correction via Eccentric Reaming Compromises Remaining Bone Quality in B2 Glenoids: A Computational Study.

Clin Orthop Relat Res. 2017-12

[7]
Thermal effects of glenoid reaming during shoulder arthroplasty in vivo.

J Bone Joint Surg Am. 2011-1-5

[8]
Development and validation of a surgical training simulator with haptic feedback for learning bone-sawing skill.

J Biomed Inform. 2013-12-28

[9]
A glenoid reaming study: how accurate are current reaming techniques?

J Shoulder Elbow Surg. 2014-2-28

[10]
Survivorship of Hemiarthroplasty With Concentric Glenoid Reaming for Glenohumeral Arthritis in Young, Active Patients With a Biconcave Glenoid.

J Am Acad Orthop Surg. 2017-10

本文引用的文献

[1]
Development of a vibration haptic simulator for shoulder arthroplasty.

Int J Comput Assist Radiol Surg. 2018-3-17

[2]
Training safer orthopedic surgeons. Construct validation of a virtual-reality simulator for hip fracture surgery.

Acta Orthop. 2015

[3]
Arthroscopy skills development with a surgical simulator: a comparative study in orthopaedic surgery residents.

Am J Sports Med. 2015-6

[4]
Surgeons and non-surgeons prefer haptic feedback of instrument vibrations during robotic surgery.

Surg Endosc. 2015-10

[5]
Validation of the PASSPORT V2 training environment for arthroscopic skills.

Knee Surg Sports Traumatol Arthrosc. 2016-6

[6]
A glenoid reaming study: how accurate are current reaming techniques?

J Shoulder Elbow Surg. 2014-2-28

[7]
Evaluation of a virtual-reality-based simulator using passive haptic feedback for knee arthroscopy.

Knee Surg Sports Traumatol Arthrosc. 2015-4

[8]
A knee arthroscopy simulator: design and validation.

Annu Int Conf IEEE Eng Med Biol Soc. 2013

[9]
100 years of surgical education: the past, present, and future.

Bull Am Coll Surg. 2013-7

[10]
Feasibility and fidelity of practising surgical fixation on a virtual ulna bone.

Can J Surg. 2013-8

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