2022, Number 2
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Ortho-tips 2022; 18 (2)
Knee arthroscopy simulator to develop arthroscopic skills in orthopedic and trauma residents
Vílchez-Cavazos JF, Simental-Mendía MA, Peña-Martínez VM, Acosta-Olivo C, Quiroga-Garza A, Elizondo-Omaña RE, Guzmán-López S
Language: Spanish
References: 34
Page: 127-134
PDF size: 249.51 Kb.
ABSTRACT
Introduction: Arthroscopic knee surgery is a minimally invasive surgical technique. The practice and experience based on repetitions have been the most common method of learning, however, the necessary amount is uncertain and subjective, so repeatable, measurable, and comparable models are sought, making arthroscopy simulators an excellent option, since the constant repetition of this surgical technique favors the training of the operator.
Objective: To evaluate the arthroscopic skills obtained through the use of the knee arthroscopy simulator in orthopedic and trauma residents.
Material and methods: A practical knee arthroscopy simulator course was conducted with the "VirtaMed ArthroS
tm" knee medical training simulator in which six residents participated. It was divided into three stages. In each of the three stages, each resident was evaluated at the beginning and end of each stage, where the diagnostic tour was carried out. The following parameters were recorded: time spent in the diagnostic tour, time of telescopic misalignment with respect to the visual horizon, damage to the femoral cartilage and damage to the tibial cartilage measured in percentage. The six residents were divided into pairs, each one practicing 2 hours per stage for 3 consecutive months.
Results: Regarding the time used to carry out the arthroscopic journey, a statistically significant decrease was obtained between the beginning of the first and third stages (p ≤ 0.01), and the end of the first and third stages (p ≤ 0.05). A statistically significant decrease was obtained in relation to the percentage of telescopic misalignment of the visual horizon between the beginning and end of the second stage (p = 0.035). No statistically significant differences were obtained regarding the percentage of damage to the femoral and tibial cartilage.
Conclusion: The practical course conducted with arthroscopic simulation allows to develop and significantly improve the arthroscopic skills of orthopedic and trauma residents. The objective evaluation of arthroscopic skills in the knee arthroscopy simulator can be used to measure the impact of training and the improvement acquired after a practical simulation course in orthopedic and trauma residents.
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