Rachel M Frank1, George Rego2, Frank Grimaldi2, Hytham S Salem3, Anthony A Romeo4, Brian J Cole5, Christopher R Adams6. 1. Department of Orthopaedic Surgery, University of Colorado, School of Medicine, Aurora, Colorado. Electronic address: Rmfrank3@gmail.com. 2. Arthrex Inc., Naples, Florida. 3. Department of Orthopaedic Surgery, University of Colorado, School of Medicine, Aurora, Colorado. 4. Rothman Institute New York, New York, New York; Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois. 5. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois. 6. Arthrex Inc., Naples, Florida; Arthrex Inc., Naples, Florida.
Abstract
OBJECTIVE: To determine the effectiveness of simulator training on basic arthroscopic skills utilizing a novel, low-cost arthroscopic triangulation training system. DESIGN: A randomized controlled trial of subjects without priorarthroscopy training was conducted, with participants randomized to receive either a fixed protocol of simulation training on a triangulation simulation model (30 minutes of training for 4 consecutive days), or no training. On Days 1 and 5, all participants were evaluated on 3 simulated arthroscopic tasks by an independent observer. Variables analyzed included how many times portals were changed, the time it took to complete the tasks, and the task completion rate. SETTING: Arthrex Inc., Naples, FL. PARTICIPANTS: Thirty-six participants (92% male, average 28 ± 5 years) with no prior arthroscopy training were randomized into 2 groups, with 17 in the training group (T) and 19 in the no-training group (NT). RESULTS: On Day 1, there was no difference in rate of task completion between the T group and NT groups (41% versus 53%, p = 0.52). On Day 5, significantly more participants in the T group completed all tasks compared to the NT group (100% versus 63%, p = 0.008). Participants in the T group had significantly improved task completion times on Day 5 versus Day 1 (p < 0.05). Participants in the NT group had a significantly improved task completion time for Task 1 on Day 5 versus Day 1 (p = 0.037); no differences were found for Tasks 2 or 3. On Day 5, participants in the T group required significantly fewer portal changes compared to the NT group (2.35 ± 2.29 versus 6.95 ± 8.55, p = 0.039). CONCLUSIONS:Simulation training on a simple, low-cost arthroscopic triangulation training system resulted in an overall improvement in arthroscopic probing and triangulation skills within 1 week of training, with significantly decreased task completion times and increased efficiency of movement.
RCT Entities:
OBJECTIVE: To determine the effectiveness of simulator training on basic arthroscopic skills utilizing a novel, low-cost arthroscopic triangulation training system. DESIGN: A randomized controlled trial of subjects without prior arthroscopy training was conducted, with participants randomized to receive either a fixed protocol of simulation training on a triangulation simulation model (30 minutes of training for 4 consecutive days), or no training. On Days 1 and 5, all participants were evaluated on 3 simulated arthroscopic tasks by an independent observer. Variables analyzed included how many times portals were changed, the time it took to complete the tasks, and the task completion rate. SETTING: Arthrex Inc., Naples, FL. PARTICIPANTS: Thirty-six participants (92% male, average 28 ± 5 years) with no prior arthroscopy training were randomized into 2 groups, with 17 in the training group (T) and 19 in the no-training group (NT). RESULTS: On Day 1, there was no difference in rate of task completion between the T group and NT groups (41% versus 53%, p = 0.52). On Day 5, significantly more participants in the T group completed all tasks compared to the NT group (100% versus 63%, p = 0.008). Participants in the T group had significantly improved task completion times on Day 5 versus Day 1 (p < 0.05). Participants in the NT group had a significantly improved task completion time for Task 1 on Day 5 versus Day 1 (p = 0.037); no differences were found for Tasks 2 or 3. On Day 5, participants in the T group required significantly fewer portal changes compared to the NT group (2.35 ± 2.29 versus 6.95 ± 8.55, p = 0.039). CONCLUSIONS: Simulation training on a simple, low-cost arthroscopic triangulation training system resulted in an overall improvement in arthroscopic probing and triangulation skills within 1 week of training, with significantly decreased task completion times and increased efficiency of movement.
Authors: Samuel O Noonan; Scott Hetzel; Kenneth J Noonan; John E Herzenberg; Donald S Bae; Benjamin J Shore Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2022-02-15
Authors: Michael L Redondo; David R Christian; Anirudh K Gowd; Brandon C Cabarcas; Gregory Cvetanovich; Bernard R Bach; Anthony A Romeo; Brian J Cole; Nikhil N Verma; Rachel M Frank Journal: Arthrosc Sports Med Rehabil Date: 2020-01-19