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评估 3D 打印实物桡骨骨折模型在教学课程中的应用。

Evaluation of a 3D-printed hands-on radius fracture model during teaching courses.

机构信息

Department of Trauma-, Hand- and Reconstructive Surgery, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Goethe University Frankfurt, Medical Faculty, Institute for Medical Education and Clinical Simulation, Frankfurt am Main, Germany.

出版信息

Eur J Trauma Emerg Surg. 2024 Feb;50(1):49-57. doi: 10.1007/s00068-023-02327-4. Epub 2023 Jul 31.

Abstract

OBJECTIVE

This study aimed to evaluate the effectiveness of a 3D-printed hands-on radius fracture model for teaching courses. The model was designed to enhance understanding and knowledge of radius fractures among medical students during their clinical training.

METHODS

The 3D models of radius fractures were generated using CT scans and computer-aided design software. The models were then 3D printed using Fused-Filament-Fabrication (FFF) technology. A total of 170 undergraduate medical students participated in the study and were divided into three groups. Each group was assigned one of three learning aids: conventional X-ray, CT data, or a 3D-printed model. After learning about the fractures, students completed a questionnaire to assess their understanding of fracture mechanisms, ability to assign fractures to the AO classification, knowledge of surgical procedures, and perception of the teaching method as well as the influence of such courses on their interest in the specialty of trauma surgery. Additionally, students were tested on their ability to allocate postoperative X-ray images to the correct preoperative image or model and to classify them to the AO classification.

RESULTS

The 3D models were well received by the students, who rated them as at least equal or better than traditional methods such as X-ray and CT scans. Students felt that the 3D models improved their understanding of fracture mechanisms and their ability to explain surgical procedures. The results of the allocation test showed that the combination of the 3D model and X-ray yielded the highest accuracy in classifying fractures according to the AO classification system, although the results were not statistically significant.

CONCLUSION

The 3D-printed hands-on radius fracture model proved to be an effective teaching tool for enhancing students' understanding of fracture anatomy. The combination of 3D models with the traditional imaging methods improved students' ability to classify fractures and allocate postoperative images correctly.

摘要

目的

本研究旨在评估 3D 打印实物桡骨骨折模型在教学课程中的效果。该模型旨在提高医学生在临床培训期间对桡骨骨折的理解和认识。

方法

使用 CT 扫描和计算机辅助设计软件生成桡骨骨折 3D 模型。然后使用熔融沉积成型(FFF)技术 3D 打印模型。共有 170 名本科医学生参与了这项研究,他们被分为三组。每组分配一种学习辅助工具:常规 X 射线、CT 数据或 3D 打印模型。在了解骨折后,学生们完成了一份问卷,以评估他们对骨折机制的理解、将骨折分类到 AO 分类的能力、对手术程序的了解,以及对教学方法的感知,以及此类课程对他们对创伤外科专业兴趣的影响。此外,学生们还接受了将术后 X 射线图像分配到正确的术前图像或模型并将其分类到 AO 分类的能力测试。

结果

学生们对 3D 模型的评价很高,认为其至少与 X 射线和 CT 扫描等传统方法一样好或更好。学生们认为 3D 模型提高了他们对骨折机制的理解能力和解释手术程序的能力。分配测试的结果表明,3D 模型与 X 射线的结合在根据 AO 分类系统对骨折进行分类方面具有最高的准确性,尽管结果没有统计学意义。

结论

3D 打印实物桡骨骨折模型被证明是一种有效的教学工具,可以增强学生对骨折解剖结构的理解。3D 模型与传统成像方法的结合提高了学生正确分类骨折和分配术后图像的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e668/10923998/2b8cc09ae267/68_2023_2327_Fig1_HTML.jpg

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