Cargando…
Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures
BACKGROUND: Surgery for hand trauma accounts for a significant proportion of the plastic surgery training curriculum. The aim of this article is to create a standardised simulation training module for hand fracture fixation on open reduction and internal fixation (ORIF) techniques for residents in o...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116095/ https://www.ncbi.nlm.nih.gov/pubmed/37363690 http://dx.doi.org/10.1007/s00238-023-02062-4 |
_version_ | 1785028348918890496 |
---|---|
author | Papavasiliou, Theodora Batten, Gemma Bloom, Oliver Chan, Jeffrey C. Y. Bain, Charles J. Uppal, Lauren |
author_facet | Papavasiliou, Theodora Batten, Gemma Bloom, Oliver Chan, Jeffrey C. Y. Bain, Charles J. Uppal, Lauren |
author_sort | Papavasiliou, Theodora |
collection | PubMed |
description | BACKGROUND: Surgery for hand trauma accounts for a significant proportion of the plastic surgery training curriculum. The aim of this article is to create a standardised simulation training module for hand fracture fixation on open reduction and internal fixation (ORIF) techniques for residents in order to create a standardised hand-training framework that universally hones their skill and prepares them for their first encounter in a clinical setting. METHODS: A step-ladder approach training using three-dimensional (3D)–printed ex vivo hand biomimetics was employed on a cohort of 15 plastic surgery residents (n = 15). Assessment of skills using a score system (global rating scale) was performed in the beginning and the end of the module by hand experts in our unit. RESULTS: The overall average score of the cohort pre- and post-assessment were 22.08/50 (44.16%) and 41.54/50 (83.08%) respectively. Significant (p < 0.01) difference of improvement of skills was noted on all trainees. All trainees confirmed that the simulated models provided in this module were akin to the patient scenario and noted that it helped them improve their skills with regards to ORIF techniques including improvement of their understanding of the 3D bone topography. CONCLUSION: We demonstrate a standardised simulation training framework that employs 3D-printed ex vivo hand biomimetics proven to improve the skills of residents and which paves the way to more universal, standardised and validated training across hand surgery. This is, to our knowledge, the first standardised method of simulated training on such hand-surgical cases. Level of Evidence: Not ratable |
format | Online Article Text |
id | pubmed-10116095 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-101160952023-04-25 Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures Papavasiliou, Theodora Batten, Gemma Bloom, Oliver Chan, Jeffrey C. Y. Bain, Charles J. Uppal, Lauren Eur J Plast Surg Original Paper BACKGROUND: Surgery for hand trauma accounts for a significant proportion of the plastic surgery training curriculum. The aim of this article is to create a standardised simulation training module for hand fracture fixation on open reduction and internal fixation (ORIF) techniques for residents in order to create a standardised hand-training framework that universally hones their skill and prepares them for their first encounter in a clinical setting. METHODS: A step-ladder approach training using three-dimensional (3D)–printed ex vivo hand biomimetics was employed on a cohort of 15 plastic surgery residents (n = 15). Assessment of skills using a score system (global rating scale) was performed in the beginning and the end of the module by hand experts in our unit. RESULTS: The overall average score of the cohort pre- and post-assessment were 22.08/50 (44.16%) and 41.54/50 (83.08%) respectively. Significant (p < 0.01) difference of improvement of skills was noted on all trainees. All trainees confirmed that the simulated models provided in this module were akin to the patient scenario and noted that it helped them improve their skills with regards to ORIF techniques including improvement of their understanding of the 3D bone topography. CONCLUSION: We demonstrate a standardised simulation training framework that employs 3D-printed ex vivo hand biomimetics proven to improve the skills of residents and which paves the way to more universal, standardised and validated training across hand surgery. This is, to our knowledge, the first standardised method of simulated training on such hand-surgical cases. Level of Evidence: Not ratable Springer Berlin Heidelberg 2023-04-20 /pmc/articles/PMC10116095/ /pubmed/37363690 http://dx.doi.org/10.1007/s00238-023-02062-4 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Paper Papavasiliou, Theodora Batten, Gemma Bloom, Oliver Chan, Jeffrey C. Y. Bain, Charles J. Uppal, Lauren Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures |
title | Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures |
title_full | Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures |
title_fullStr | Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures |
title_full_unstemmed | Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures |
title_short | Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures |
title_sort | utilising 3d-printed ex vivo biomimetics to improve open reduction and internal fixation (orif) simulation training for hand fractures |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116095/ https://www.ncbi.nlm.nih.gov/pubmed/37363690 http://dx.doi.org/10.1007/s00238-023-02062-4 |
work_keys_str_mv | AT papavasilioutheodora utilising3dprintedexvivobiomimeticstoimproveopenreductionandinternalfixationorifsimulationtrainingforhandfractures AT battengemma utilising3dprintedexvivobiomimeticstoimproveopenreductionandinternalfixationorifsimulationtrainingforhandfractures AT bloomoliver utilising3dprintedexvivobiomimeticstoimproveopenreductionandinternalfixationorifsimulationtrainingforhandfractures AT chanjeffreycy utilising3dprintedexvivobiomimeticstoimproveopenreductionandinternalfixationorifsimulationtrainingforhandfractures AT baincharlesj utilising3dprintedexvivobiomimeticstoimproveopenreductionandinternalfixationorifsimulationtrainingforhandfractures AT uppallauren utilising3dprintedexvivobiomimeticstoimproveopenreductionandinternalfixationorifsimulationtrainingforhandfractures |