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Shoulder Arthroscopy Simulator Training Improves Surgical Procedure Performance: A Controlled Laboratory Study.

Jordan Hauschild1, Jessica C Rivera1, Anthony E Johnson1

  • 1Brooke Army Medical Center, San Antonio, Texas, USA.

Orthopaedic Journal of Sports Medicine
|May 17, 2021
PubMed
Summary
This summary is machine-generated.

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A four-week arthroscopy simulation program, using either dry lab (DL) or virtual reality (VR) models, significantly improved surgical skills and performance in anterior labral repair. Both simulation types were equally effective, contrary to the hypothesis that VR would be superior.

Area of Science:

  • Orthopaedic Surgery
  • Surgical Simulation
  • Medical Education

Background:

  • Previous studies assessed dry lab (DL) or virtual reality (VR) simulation for arthroscopic tasks but not specific surgical procedures.
  • This research bridges that gap by evaluating simulation's impact on arthroscopic anterior labral repair performance.

Purpose of the Study:

  • To assess the effectiveness of a shoulder arthroscopy simulator program in enhancing performance of arthroscopic anterior labral repair.
  • Hypothesized that both DL and VR simulation would improve performance, with VR being more effective based on the Arthroscopic Surgery Skill Evaluation Tool (ASSET) Global Rating Scale.

Main Methods:

  • A controlled laboratory study involved 38 orthopaedic residents (PGYs 1-5) who completed a pretest cadaveric shoulder stabilization procedure.
Keywords:
Arthroscopic Surgery Skill Evaluation Tool (ASSET)shoulder arthroscopysimulation training

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  • Residents were randomized into VR or DL simulation groups for a 4-week program, followed by a posttest.
  • Performance was evaluated by grading procedural steps and using the ASSET Global Rating Scale.
  • Main Results:

    • No significant pretest performance differences were observed between groups.
    • Overall procedural step scores improved with combined simulator training (P = .0424), but not within individual groups.
    • ASSET scores significantly improved in both DL (P = .0045) and VR (P = .0003) groups, with no significant difference between simulation types.

    Conclusions:

    • A 4-week simulation program effectively enhances arthroscopic skills and performance in specific surgical procedures like anterior labral repair.
    • Both VR and DL simulation models demonstrated comparable effectiveness, disproving the hypothesis that VR would be superior.
    • Simulator training offers a valuable tool for teaching arthroscopic skills and surgical procedures to both novice and experienced orthopaedic surgeons.