Department of Surgery, Uniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Bethesda, Maryland.
Naval Medical Center Portsmouth, Portsmouth, Virginia.
J Surg Orthop Adv. 2023 Winter;32(4):238-241.
Acute compartment syndrome (ACS) represents a surgical emergency requiring effective, complete fasciotomy. The purpose of this study is to evaluate cadaver-based training on the ability of practicing general surgeons to effectively perform upper extremity, thigh, and leg fasciotomies. One hundred seventeen general surgeons underwent a 2-day, cadaver-based course with formative and summative assessments based on validated scoring tools. Overall performance and critical item scores were recorded and compared utilizing analysis of variance with repeated measures and eta-squared values to evaluate effect size. For all three procedures, post-training scores were significantly improved when compared with pre-training scores (p < 0.001). Mean pre-training score for lower leg fasciotomy met the standard for competent performance of the procedure (total score > 80), whereas neither thigh nor upper extremity performance scores met this standard before training. This 2-day, cadaver-based course improves the ability of practicing general surgeons to effectively and independently perform upper extremity, thigh, and lower leg fasciotomies. (Journal of Surgical Orthopaedic Advances 32(4):238-241, 2023).
急性间隔综合征(ACS)是一种需要有效、完全切开筋膜的外科急症。本研究旨在评估基于尸体的培训对普通外科医生有效进行上肢、大腿和小腿筋膜切开术的能力。117 名普通外科医生参加了为期 2 天的基于尸体的课程,并根据经过验证的评分工具进行了形成性和总结性评估。记录总体表现和关键项目评分,并利用重复测量方差分析和 eta 平方值评估效果大小。对于所有三种手术,与术前相比,术后评分均显著提高(p<0.001)。小腿筋膜切开术的平均术前评分达到了该手术熟练操作的标准(总分>80),而大腿和上肢的操作评分在培训前均未达到该标准。这个为期 2 天的基于尸体的课程提高了普通外科医生有效且独立进行上肢、大腿和小腿筋膜切开术的能力。(《外科矫形进展杂志》32(4):238-241, 2023)。
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