Development of a Novel, Affordable, and Accessible Simulation for Teaching Rotator Cuff Repair

This study describes the development of a novel, affordable, and accessible simulation model designed to teach arthroscopic rotator cuff repair to orthopedic surgery trainees. The model was created using commercially available, cost-effective products to provide a portable representation of an in vivo intraoperative rotator cuff repair. The technique was developed at a major academic tertiary care center. The rotator cuff repair simulator was designed with clear learning objectives to help train orthopedic residents in shoulder arthroscopic skills, including proper anchor placement, bimanual instrument handling, and knot tying. Key components of the design include a tactile surface for anchor placement, tendon attachment with adjustable tension, and a simulated intraoperative environment using standard arthroscopic portals. The simulator was constructed using household items at a low cost. Trainees can access instructional videos to guide them in constructing the simulator and performing rotator cuff repairs. This innovative model provides a cost-effective, "at-home" simulator for honing essential surgical skills related to arthroscopic rotator cuff repair. Given the challenges of intraoperative training and the impracticality of expensive lab-based models, this surgical training technique offers a financially viable and effective alternative. By providing residents and fellows with an affordable yet high-quality training solution, the simulator supports equitable access to comprehensive surgical rehearsal exercises. It allows hands-on practice in rotator cuff repair within a low-risk, controlled environment. Consistent simulation and practice improve surgical proficiency and confidence, ultimately enhancing patient outcomes by refining the technical skills of future surgeons.