Abstract
Amaç: Ortopedi asistanlarının sanal gerçeklik bilgisayar
simülasyonu ile artroskopik becerilerini değerlendirmek ve bunun eğitim yılı ve
ameliyat sayıları ile ilişkisini araştırmak.
Gereç ve Yöntem: Farklı yıl ve tecrübede 12 ortopedi
asistanının artroskopi performansları sanal gerçeklik bilgisayar simülasyonu
ile 4 farklı modülde değerlendirildi. Birer hafta ara ile performanslar
tekrarlandı. Modüllerde süre ve kat edilen mesafe kaydedildi. Eşleştirilmiş
verilerin analizinde Wilcoxon testi, ilişkinin değerlendirilmesinde Pearson
korelasyon analizi kullanıldı. Anlamlılık değeri p <0,05 olarak kabul
edildi.
Bulgular: Katılımcıların modüllerdeki ortalama süre
ve mesafe verileri ikinci performanslarında ilk performanslarına kıyasla
anlamlı oranda düştü. Asistanlık süresi ve artroskopi sayıları ile modül süre
ve mesafe verileri arasında negatif yönde ilişki vardı. Bunların arasında modül
3 ile asistanlık süresi ve modül 2 de kat edilen yol ile artroskopi sayıları
arasındaki negatif yöndeki ilişki istatistiksel olarak anlamlıydı.
Sonuç: Sanal gerçeklik bilgisayar simülasyonları
ortopedi asistanlarının artroskopi eğitimde etkili ve güvenilir bir yöntemdir.
Ortopedi pratiğinde alternatif eğitim yöntemi olarak kullanılmasının faydalı
olacağı düşüncesindeyiz.
References
- 1. Howells N, Gill H, Carr A, Price A, Rees J. Transferring simulated arthroscopic skills to the operating theatre. Bone & Joint Journal. 2008;90(4):494-9.
- 2. Cannon WD, Eckhoff DG, Garrett Jr WE, Hunter RE, Sweeney HJ. Report of a group developing a virtual reality simulator for arthroscopic surgery of the knee joint. Clinical orthopaedics and related research. 2006;442:21-9.
- 3. Michelson JD. Simulation in orthopaedic education: an overview of theory and practice. The Journal of bone and joint surgery American volume. 2006;88(6):1405-11.
- 4. Rosenberg BH, Landsittel D, Averch TD. Can video games be used to predict or improve laparoscopic skills? Journal of Endourology. 2005;19(3):372-6.
- 5. Gomoll AH, Pappas G, Forsythe B, Warner JJ. Individual skill progression on a virtual reality simulator for shoulder arthroscopy a 3-year follow-up study. The American journal of sports medicine. 2008;36(6):1139-42.
- 6. Phillips L, Cheung JJ, Whelan DB, Murnaghan ML, Chahal J, Theodoropoulos J, et al. Validation of a Dry Model for Assessing the Performance of Arthroscopic Hip Labral Repair. The American Journal of Sports Medicine. 2017:0363546517696316.
- 7. Martin RK, Gillis D, Leiter J, Shantz JS, MacDonald P. A porcine knee model is valid for use in the evaluation of arthroscopic skills: a pilot study. Clinical Orthopaedics and Related Research®. 2016;474(4):965-70.
- 8. Gomoll AH, O'toole RV, Czarnecki J, Warner JJ. Surgical experience correlates with performance on a virtual reality simulator for shoulder arthroscopy. The American Journal of Sports Medicine. 2007;35(6):883-8.
- 9. Modi CS, Morris G, Mukherjee R. Computer-simulation training for knee and shoulder arthroscopic surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2010;26(6):832-40.
- 10. Pedowitz RA, Esch J, Snyder S. Evaluation of a virtual reality simulator for arthroscopy skills development. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2002;18(6):1-6.
- 11. Henn RF, Shah N, Warner JJ, Gomoll AH. Shoulder arthroscopy simulator training improves shoulder arthroscopy performance in a cadaveric model. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2013;29(6):982-5.
- 12. Tashiro Y, Miura H, Nakanishi Y, Okazaki K, Iwamoto Y. Evaluation of skills in arthroscopic training based on trajectory and force data. Clinical orthopaedics and related research. 2009;467(2):546-52.
- 13. Hodgins JL, Veillette C. Arthroscopic proficiency: methods in evaluating competency. BMC medical education. 2013;13(1):61.
- 14. Gallagher AG, Seymour NE, Jordan-Black J-A, Bunting BP, McGlade K, Satava RM. Prospective, randomized assessment of transfer of training (ToT) and transfer effectiveness ratio (TER) of virtual reality simulation training for laparoscopic skill acquisition. Annals of surgery. 2013;257(6):1025-31.
- 15. Seymour NE, Gallagher AG, Roman SA, O’brien MK, Bansal VK, Andersen DK, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Annals of surgery. 2002;236(4):458-64.
- 16. Karahan M, Unalan PC, Bozkurt S, Odabas I, Akgun U, Cifcili S, et al. Correlation of basic motor skills with arthroscopic experience. Acta Orthop Traumatol Turc. 2009;43(1):49-53.
- 17. Rose K, Pedowitz R. Fundamental arthroscopic skill differentiation with virtual reality simulation. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2015;31(2):299-305.
- 18. Alvand A, Khan T, Al-Ali S, Jackson W, Price A, Rees J. Simple visual parameters for objective assessment of arthroscopic skill. The Journal of Bone & Joint Surgery. 2012;94(13):e97.
Abstract
Objective: The purpose of this study was to evaluate the
arthroscopic skills of orthopedic residents with virtual reality computer
simulation and to investigate the correlation with operation numbers and
experiences.
Material and Method: Arthroscopy performances of 12
orthopedic residents with different years and experiences were evaluated in 4
different modules with virtual reality computer simulation. Performances were
repeated with a one-week interval. The time and the distance were recorded in
the modules. Wilcoxon test was used in the analysis of the paired data, Pearson
correlation analysis was used in the evaluation of the relationship.
Significance value was accepted as p <0.05.
Results: The mean time
and distance decreased significantly in the second performance compared to the
initial performance for the participants. There was a negative correlation
between the duration of the residentship and the number of arthroscopy with the
module time and distance data. Among them, the negative correlation between the
duration of residentship with module 3 time and the number of arthroscopy with
the module 2 distance were statistically significant.
Conclusion: Virtual reality computer simulations are an effective
and reliable method for the arthroscopy training in orthopedic residents. We
recommend that it would be an alternative training method in orthopedic
practice.
References
- 1. Howells N, Gill H, Carr A, Price A, Rees J. Transferring simulated arthroscopic skills to the operating theatre. Bone & Joint Journal. 2008;90(4):494-9.
- 2. Cannon WD, Eckhoff DG, Garrett Jr WE, Hunter RE, Sweeney HJ. Report of a group developing a virtual reality simulator for arthroscopic surgery of the knee joint. Clinical orthopaedics and related research. 2006;442:21-9.
- 3. Michelson JD. Simulation in orthopaedic education: an overview of theory and practice. The Journal of bone and joint surgery American volume. 2006;88(6):1405-11.
- 4. Rosenberg BH, Landsittel D, Averch TD. Can video games be used to predict or improve laparoscopic skills? Journal of Endourology. 2005;19(3):372-6.
- 5. Gomoll AH, Pappas G, Forsythe B, Warner JJ. Individual skill progression on a virtual reality simulator for shoulder arthroscopy a 3-year follow-up study. The American journal of sports medicine. 2008;36(6):1139-42.
- 6. Phillips L, Cheung JJ, Whelan DB, Murnaghan ML, Chahal J, Theodoropoulos J, et al. Validation of a Dry Model for Assessing the Performance of Arthroscopic Hip Labral Repair. The American Journal of Sports Medicine. 2017:0363546517696316.
- 7. Martin RK, Gillis D, Leiter J, Shantz JS, MacDonald P. A porcine knee model is valid for use in the evaluation of arthroscopic skills: a pilot study. Clinical Orthopaedics and Related Research®. 2016;474(4):965-70.
- 8. Gomoll AH, O'toole RV, Czarnecki J, Warner JJ. Surgical experience correlates with performance on a virtual reality simulator for shoulder arthroscopy. The American Journal of Sports Medicine. 2007;35(6):883-8.
- 9. Modi CS, Morris G, Mukherjee R. Computer-simulation training for knee and shoulder arthroscopic surgery. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2010;26(6):832-40.
- 10. Pedowitz RA, Esch J, Snyder S. Evaluation of a virtual reality simulator for arthroscopy skills development. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2002;18(6):1-6.
- 11. Henn RF, Shah N, Warner JJ, Gomoll AH. Shoulder arthroscopy simulator training improves shoulder arthroscopy performance in a cadaveric model. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2013;29(6):982-5.
- 12. Tashiro Y, Miura H, Nakanishi Y, Okazaki K, Iwamoto Y. Evaluation of skills in arthroscopic training based on trajectory and force data. Clinical orthopaedics and related research. 2009;467(2):546-52.
- 13. Hodgins JL, Veillette C. Arthroscopic proficiency: methods in evaluating competency. BMC medical education. 2013;13(1):61.
- 14. Gallagher AG, Seymour NE, Jordan-Black J-A, Bunting BP, McGlade K, Satava RM. Prospective, randomized assessment of transfer of training (ToT) and transfer effectiveness ratio (TER) of virtual reality simulation training for laparoscopic skill acquisition. Annals of surgery. 2013;257(6):1025-31.
- 15. Seymour NE, Gallagher AG, Roman SA, O’brien MK, Bansal VK, Andersen DK, et al. Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Annals of surgery. 2002;236(4):458-64.
- 16. Karahan M, Unalan PC, Bozkurt S, Odabas I, Akgun U, Cifcili S, et al. Correlation of basic motor skills with arthroscopic experience. Acta Orthop Traumatol Turc. 2009;43(1):49-53.
- 17. Rose K, Pedowitz R. Fundamental arthroscopic skill differentiation with virtual reality simulation. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2015;31(2):299-305.
- 18. Alvand A, Khan T, Al-Ali S, Jackson W, Price A, Rees J. Simple visual parameters for objective assessment of arthroscopic skill. The Journal of Bone & Joint Surgery. 2012;94(13):e97.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Original research article |
| Authors | |
| Publication Date | December 1, 2017 |
| Submission Date | July 12, 2017 |
| Published in Issue | Year 2017 Volume: 50 Issue: 3 |
