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Development of a Novel, Affordable, and Accessible Simulation for Teaching Rotator Cuff Repair
Lainey G Bukowiec1, Aaron Damon2, Julia E Todderud3
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, USA.
Cureus
|September 29, 2025
Summary
Orthopedic surgery trainees can now practice arthroscopic rotator cuff repair with a new, low-cost simulation model. This accessible tool enhances surgical skills for better patient outcomes.
Area of Science:
- Orthopedic Surgery
- Surgical Simulation
- Medical Education
Background:
- Traditional intraoperative training for arthroscopic rotator cuff repair presents challenges.
- Expensive, lab-based simulation models limit accessibility for many trainees.
- There is a need for affordable, effective training tools for orthopedic residents.
Purpose of the Study:
- To develop a novel, affordable, and accessible simulation model for teaching arthroscopic rotator cuff repair.
- To create a portable, cost-effective simulator replicating in vivo conditions.
- To provide orthopedic surgery trainees with a tool to hone essential arthroscopic shoulder skills.
Main Methods:
- The simulator was constructed using commercially available, low-cost household items.
- Key components include a tactile surface for anchor placement and adjustable tendon tension.
- Instructional videos guide trainees in simulator construction and surgical technique.
Main Results:
- A cost-effective, portable arthroscopic rotator cuff repair simulator was successfully developed.
- The model effectively simulates key aspects of intraoperative rotator cuff repair.
- The simulator facilitates practice of anchor placement, instrument handling, and knot tying.
Conclusions:
- This innovative simulator offers a financially viable and effective alternative to traditional training methods.
- The model provides equitable access to essential surgical skill rehearsal for residents and fellows.
- Consistent practice with this simulator can improve surgical proficiency, confidence, and ultimately patient outcomes.

