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Related Experiment Video

Updated: Jun 12, 2025

Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
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Identifying Lower Extremity Deformities in the Coronal Plane: Lessons From Remote Learning During the COVID-19

Rahul Vaidya1, Kadence Rosinski2, Tatiana Bunge2

  • 1Department of Orthopedic Surgery, Wayne State University Detroit Medical Center, Detroit, USA.

Cureus
|September 24, 2024
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Summary

The AO Foundation

Keywords:
coronal alignmentfemoral deformityjoint deformitytibial deformitytotal deformity

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Area of Science:

  • Orthopedic surgery education
  • Medical imaging analysis
  • Digital health technologies

Background:

  • The COVID-19 pandemic necessitated a shift from in-person to online orthopedic education.
  • Traditional in-person skill assessment methods were replaced by virtual lectures and discussions.
  • The AO Foundation adapted its educational programs to an online format.

Purpose of the Study:

  • To evaluate the effectiveness of an online course for teaching leg length and coronal deformity measurement.
  • To assess participants' proficiency in demonstrating these skills using digital planning software.

Main Methods:

  • An IRB-approved study involved 176 participants in an online osteotomy course.
  • Participants learned measurement techniques via lectures and tutorials using the Bonesetter App.
  • Four coronal deformity cases were analyzed using long-leg standing radiographs, with measurements evaluated by independent observers.

Main Results:

  • 76% of participants correctly completed the four measurement exercises.
  • The most common errors involved measuring total and joint deformity.
  • High reliability was observed, with intraclass correlation coefficient > 0.96.

Conclusions:

  • The online course successfully imparted coronal deformity measurement skills.
  • Participants encountered challenges with joint angle and total deformity measurements.
  • Future online orthopedic education should offer enhanced instruction on specific complex measurements.