Journal of Clinical Orthopaedics and Trauma最新文献

{"title":"The economical and reliable image free navigation system for acetabular cup implantation in total hip arthroplasty","authors":"Bishnu Prasad Patro ,&nbsp;Mainak Roy ,&nbsp;Manas Mohan Mahapatra ,&nbsp;Divesh Jain","doi":"10.1016/j.jcot.2025.102991","DOIUrl":"10.1016/j.jcot.2025.102991","url":null,"abstract":"<div><h3>Background</h3><div>Achieving precise acetabular cup positioning is vital for the success of total hip arthroplasty (THA). Factors such as cup inclination and anteversion angles play a pivotal role in determining postoperative stability, limb length equality, and overall functional outcomes. Modern navigation systems and robotics have enhanced surgical precision but remain underutilized due to their high costs and complex training requirements.</div></div><div><h3>Methods</h3><div>We have designed an economical and compact image-free navigation device for acetabular cup placement. By employing computer vision techniques using OpenCV, the device was tested on artificial hip models to ensure precision. A total of 50 angle measurements were analyzed for accuracy.</div></div><div><h3>Results</h3><div>The tool demonstrated exceptional precision, with mean inclination angle errors of 0.15° (SD: 0.44°) and mean anteversion angle errors of −1.06° (SD: 0.34°), both statistically significant (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Our navigation device, which is portable and cost-effective, offers reliable guidance for acetabular cup positioning. Its affordability and ease of use make it an excellent alternative for resource-constrained settings.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102991"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143800063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the thermal bone damage done by the oscillating saw and bone mill burr during total knee arthroplasty","authors":"Sanjay Bhalchandra Londhe ,&nbsp;Nicholas Antao ,&nbsp;Ravi Vinod Shah ,&nbsp;Shamila Mohamed Ali ,&nbsp;Amrita Rajendran","doi":"10.1016/j.jcot.2025.102992","DOIUrl":"10.1016/j.jcot.2025.102992","url":null,"abstract":"<div><h3>Background</h3><div>Thermal osteonecrosis from bone cutting during total knee arthroplasty (TKA) may cause aseptic implant loosening. The study compares thermal bone injury from oscillating saw (CTKA) and bone milling burr treatments (RATKA).</div></div><div><h3>Method</h3><div>A prospective study comparing thermal necrosis during CTKA and RATKA was performed. The sample size (n = 36) was determined with 18 patients per group, assuming a 15 % relative increase in thermal necrosis with RATKA, with statistical thresholds set at α = 5 % and β = 10 %. The upper tibia cut surface was analyzed, with histological sections examined from 20 randomly selected fields. Thermal necrosis was evaluated by determining the proportion of non-viable cells relative to viable ones and measuring the depth from the cut bone surface at which the first intact osteocyte was observed. Statistical analysis was conducted using appropriate comparative tests, including Chi-square and t-tests, with significance determined at a threshold of p &lt; 0.05.</div></div><div><h3>Results</h3><div>There was no significant variability in preoperative patient characteristics (gender, age, body mass index, diagnosis, range of motion, deformity and comorbidities) between CTKA (n = 18) and RATKA (n = 18) groups. The percentage of dead osteocytes at the resected surface in CTKA and RATKA were 40.3 % and 46.5 % respectively (p = 0.6309). The minimum depth where viable osteocytes were found was 25.5 ± 3.5 μmm and 27.1 ± 3.6 μmm in CTKA and RATKA respectively (p value = 0.091).</div></div><div><h3>Conclusion</h3><div>Conventional TKA and RATKA produce similar thermal effects on bone, with no significant difference in osteocyte viability. This indicates that both surgical methods are comparable regarding thermal impact on bone health.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102992"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights of shared decision-making and personalized treatment in orthopedics – A qualitative systematic review","authors":"Dheeraj Makkar ,&nbsp;Ravi Sauhta ,&nbsp;Surekha Jaganmohan ,&nbsp;T. Priyadarshini ,&nbsp;Viji Devanand ,&nbsp;Ashwini Raja","doi":"10.1016/j.jcot.2025.102989","DOIUrl":"10.1016/j.jcot.2025.102989","url":null,"abstract":"<div><h3>Background</h3><div>The shift from a paternalistic model to a patient-centered approach in medical decision-making has significantly transformed the doctor-patient relationship, especially in India. The rise of the Internet and patient education resources has empowered patients to actively participate in their healthcare decisions.</div></div><div><h3>Methods</h3><div>A systematic review was registered in PROSPERO [CRD420250652673] and was conducted using PubMed, Scopus, Web of Science (WoS), and Google Scholar, focusing on English-language publications about shared decision-making (SDM) in total joint replacement. Randomized controlled trials, studies on decision-making preferences, and disease-specific decision aids were included. Exclusion criteria encompassed advance directives and lifestyle-related decisions.</div></div><div><h3>Results</h3><div>SDM models have gained prominence globally, with various nations integrating patient rights and decision-making tools into their healthcare systems. Different patient care models, including paternalistic, informed, and SDM, have been critically examined for their advantages and limitations.</div></div><div><h3>Conclusion</h3><div>The review highlights the evolving nature of patient involvement in medical decisions, emphasizing the importance of SDM in aligning treatments with patient preferences and values.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102989"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-related musculoskeletal pain among orthopaedic surgeons: A systematic literature search and narrative synthesis","authors":"Joel Richard ,&nbsp;Seungjae Cho ,&nbsp;W. Shane Journeay","doi":"10.1016/j.jcot.2025.102984","DOIUrl":"10.1016/j.jcot.2025.102984","url":null,"abstract":"<div><h3>Background</h3><div>Performing surgery is associated with physical demands and musculoskeletal hazards. Orthopaedic surgery is a particularly physically demanding surgical discipline. We aimed to systematically examine the literature characterizing the prevalence and nature of work-related musculoskeletal (MSK) pain among orthopaedic surgeons.</div></div><div><h3>Methods</h3><div>Systematic search and narrative synthesis methodology of studies on MSK pain among orthopaedic surgeons was conducted in MEDLINE, Embase, and CINAHL. Data extraction of study characteristics was performed and further analyzed for prevalence, pain outcome measures, and anatomical location of MSK pain. This review is registered in PROSPERO CRD420250650511.</div></div><div><h3>Results</h3><div>25 studies met our inclusion criteria. 14 studies were published since 2019, with no articles before 1995. 11 papers studied surgeons in the USA and the remaining from other countries. The range of overall MSK pain prevalence was 51.7–97.0 %. 11 studies reported on pain in 1–2 anatomical regions, while 9 studies reported on &gt;3 regions. MSK pain was most frequently reported in the lower back (prevalence of 17.1–77.0 %); neck (10.4–74.4 %); and shoulder (12.8–66.7 %). 13 studies determined MSK pain via author-made or unspecified instruments while 12 papers used validated tools for surveying MSK pain. 17 studies specified a time period in which MSK pain reports were captured.</div></div><div><h3>Conclusion</h3><div>Orthopaedic surgeons report a high frequency of MSK pain, in the lower back, neck and shoulder regions. There was considerable heterogeneity of research methods and outcome measures utilized. Further research is needed to better understand the role of preventive measures and the potential influence of MSK pain on surgeon occupational function, and the orthopaedic surgeon workforce.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"66 ","pages":"Article 102984"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced diagnostic value of adding 3D MR neurography sequence to routine lumbar spine MRI protocol: A retrospective study","authors":"Khushboo Pilania ,&nbsp;Bhavin Jankharia ,&nbsp;Aamish Kazi ,&nbsp;Shilpa Sankhe","doi":"10.1016/j.jcot.2025.102990","DOIUrl":"10.1016/j.jcot.2025.102990","url":null,"abstract":"<div><h3>Background</h3><div>This study evaluates whether the inclusion of a 3D MR neurography sequence in the routine lumbar spine MRI protocol improves the diagnostic yield in patients presenting with low back pain, radiculopathy, or limb weakness.</div></div><div><h3>Methods</h3><div>A total of 277 lumbar spine MRIs with positive MR neurography findings were retrospectively reviewed. Standard MRI images (excluding neurography) were first categorized as normal, nearly normal, or abnormal. Subsequently, MR neurography findings were categorized into five groups i.e. Insignificant findings, Findings that increased diagnostic confidence in standard MRI results, Improved appreciation of disease severity, helped in better delineation of symptomatic site in multilevel disease, and those with significant findings seen only on MR neurography.</div><div>Statistical analysis was conducted using a two-sample proportion z-test to compare the diagnostic value of standard MRI alone versus MRI with neurography.</div></div><div><h3>Results</h3><div>The addition of MR neurography increased diagnostic yield in over 87 % of cases (241/277 patients). Furthermore, in 20.5 % of cases (57/277), pathology was identified exclusively on MR neurography.</div></div><div><h3>Conclusion</h3><div>Adding MR neurography to routine lumbar spine MRI significantly enhances diagnostic accuracy, offering a symptom-targeted evaluation of spinal nerves. This addition holds promise for improving the workup of patients with low back pain.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102990"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suction drainage increases the need for blood transfusion in bilateral total knee arthroplasty","authors":"Narayan Hulse,&nbsp;Raghu B V,&nbsp;Yogarakshith A R","doi":"10.1016/j.jcot.2025.102987","DOIUrl":"10.1016/j.jcot.2025.102987","url":null,"abstract":"<div><h3>Background</h3><div>In simultaneous bilateral total knee arthroplasties (TKA), the blood transfusion rate could be higher, considering the cumulative blood loss from both knees. Due to its continuous suction mechanism, closed drainage can increase the amount of postoperative bleeding and drainage. In this study, we evaluated the effect of suction drain on postoperative blood transfusion in patients undergoing simultaneous bilateral TKA.</div></div><div><h3>Methods</h3><div>Consecutive 400 primary simultaneous bilateral TKAs were studied. In the ‘drain group’ of 100 consecutive patients (200 TKAs), a suction drain was used, and in the subsequent consecutive 100 patients (200 knees, ‘No drain group’), no drain was used. The volume of postoperative suction drainage, hemoglobin, hematocrit, transfusion requirements, and related complications are studied retrospectively. Data was collected using patient case notes, blood bank data, and the laboratory data, which is stored digitally for all the patients in the hospital electronic database.</div></div><div><h3>Results</h3><div>In the “drain group”, the combined mean collection in the suction drain was 527.2 ml (±273.2 ml). The mean post-operative change in the hemoglobin was 2.63 gm/dl (±1.06 gm/dl). There were 31 patients with post-operative hemoglobin below 8 gm/dl requiring 49 units of packed cells transfused.</div><div>In the No-drain group, the mean post-operative change in hemoglobin was 2.42 gm/dl (±1.005 gm/dl). There were 16 patients with postoperative Hemoglobin below 8 gm/dl requiring 21 pints of packed cells transfusion in this group. The greater drop in the postoperative hemoglobin percentage occurred in the “Drain group”, which is statistically significant. The blood transfusions from the two groups yielded a p-value of 0.0057, which is also statistically significant.</div></div><div><h3>Conclusion</h3><div>Our study concludes that no drainage in primary simultaneous bilateral TKA may reduce the need for blood transfusions compared to the closed suction drain.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102987"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinico-radiological outcomes of surgical fixation for posterior column acetabular fractures, with or without posterior wall involvement","authors":"Abdul Qayyum Khan,&nbsp;Divas Gupta,&nbsp;Madhav Chowdhry,&nbsp;Mohammad Baqar Abbas,&nbsp;Julfiqar","doi":"10.1016/j.jcot.2025.102988","DOIUrl":"10.1016/j.jcot.2025.102988","url":null,"abstract":"<div><h3>Background</h3><div>Posterior column and posterior wall acetabular fractures are associated with hip instability and early development of post traumatic hip arthritis. Literature suggests superior outcomes of isolated posterior column fractures as compared to those involving both posterior column and posterior wall. This study aims to compare functional and radiological outcomes after surgical fixation of posterior column acetabular fractures with or without posterior wall fractures.</div></div><div><h3>Methods</h3><div>A prospective, comparative study was conducted between July 2017 and July 2022. All skeletally mature patients (&gt;18 years old) with acute (&lt;21 days old), elementary/associated posterior column acetabular fracture and managed surgically were included in the study. Based on the involvement of posterior wall, patients were divided into 2 groups: Group A: without posterior wall fractures; and Group B: with posterior wall fractures. Functional outcomes were calculated using Merle D'Aubingne &amp; Postel criteria and radiological outcomes were assessed using Matta's post-op reduction criteria and Matta's radiographic grading at final follow-up.</div></div><div><h3>Results</h3><div>There were 32 patients with acetabular fractures involving posterior column without posterior wall (Group A) and 20 patients with posterior wall involvement (Group B). On comparison, patients in Group A had significantly better functional outcomes at 1 year follow-up (p = 0.01). However, there was no significant difference between Matta's Radiographic reduction criteria immediate post-operatively (p = 0.711) and Matta's Radiographic grade at final 1 year follow-up (p = 0.957).</div></div><div><h3>Conclusion</h3><div>Posterior column acetabular fractures involving the posterior wall have worse functional outcomes and are associated with early failure and post-traumatic arthritis, when treated with fixation of posterior column alone. Future studies should evaluate morphology of posterior wall fragment in the complex fracture patterns, role of its additional surgical fixation and compare it to those with isolated posterior wall fractures.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102988"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying septic arthritis superimposed on crystalline arthropathy: Is synovial cell count the answer?","authors":"Allison M. Morgan,&nbsp;Sehar Ferati,&nbsp;Chloe Fong,&nbsp;Kenneth Egol","doi":"10.1016/j.jcot.2025.102985","DOIUrl":"10.1016/j.jcot.2025.102985","url":null,"abstract":"<div><h3>Background</h3><div>Septic arthritis (SA) is an orthopedic urgency with significant morbidity and potential mortality. Differentiating SA and crystalline arthritis (CA) is difficult as concurrent disease may exist. This study sought to identify the prevalence of and define diagnostic laboratory markers for SA in the setting of CA.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted of adult patients presenting to a single medical center between January 2012 and March 2023 with monosodium urate (MU) or calcium pyrophosphate (CPP) in synovial knee joint fluid of a native knee. Categorical variables were assessed using chi-square and Fisher exact tests. Receiver operating characteristic curves were computed, and diagnostic accuracy was determined from associated area under the ROC curve (AUC). The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated and optimal diagnostic thresholds determined by Youden index.</div></div><div><h3>Results</h3><div>225 knee aspirations were analyzed, 56.4 % CPP and 43.6 % MSU. There were 12 cases of superimposed SA (5.3 %), 11 culture confirmed and 1 suspected. Immunosuppression was associated with a higher incidence of SA (41.7 % versus 14.6 %, p = 0.0271). SA had a significantly higher mean synovial WBC (135,796 vs 22,510; p = 0.0007). There was no difference in percentage of PMNs between the septic and aseptic groups (90.6 % vs 69.7 %; p = 3.327). Of the 12 cases of concomitant SA, 10 (83.3 %) had a synovial WBC ≥50,000/mm3, compared to 21 (9.9 %) of the aseptic aspirations (p &lt; 0.0001). Nine (75 %) aspirations in the septic group had ≥90 % PMNs, compared to 78 (36.6 %) in the aseptic group (p = 0.0123). The optimal diagnostic threshold for synovial WBC was 50,000/mm3 (91.7 % sensitivity, 90.1 % specificity, AUC = 0.960). The optimal synovial percentage of PMNs was 64 % (100 % sensitivity, 6.7 % specificity, AUC = 0.731).</div></div><div><h3>Conclusion</h3><div>In the setting of CA, synovial WBC may provide a useful diagnostic marker for SA with an optimal threshold of 50,000 cells/mm3.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102985"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of tourniquet time and nerve diameter change on nerve damage in upper extremity surgery interventions","authors":"Nezih Sertoz ,&nbsp;Zeynep Cagiran ,&nbsp;Kazım Koray Ozgul ,&nbsp;Asli B. Turhan ,&nbsp;Semra Karaman","doi":"10.1016/j.jcot.2025.102980","DOIUrl":"10.1016/j.jcot.2025.102980","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral nerve damage is the most common and most frightening complication after a peripheral nerve block procedure. The purpose of this study was to evaluate the effects of different tourniquet durations on the sensory, motor, and sympathetic functions of peripheral nerves in patients undergoing upper extremity surgery by measuring nerve diameters under ultrasound guidance and performing nerve conduction studies to evaluate the effects on nerve damage in distal forearm.</div></div><div><h3>Methods</h3><div>This study was conducted on ASA I-III patients between the ages of18 and70 who were scheduled to undergo surgery on the mid and distal forearm. All patients underwent brachial plexus block via an axillary approach using USG and a nerve stimulator Prior to the application of the block, the diameters of the median, radial, ulnar, and musculocutaneous nerves were measured under USG guidance.</div><div>The same assistant personnel injected 7 ml of bupivacaine and lidocaine mixture into each nerve (median, radial, ulnar). Local anesthetic(LA) to spread along the nerve sheath, the diameters of each nerve sheath were measured and recorded again by USG. Nerve conduction studies using EMG were performed by the same researcher before surgery and 1month after surgery to evaluate for nerve damage.</div></div><div><h3>Results</h3><div>The study consisted of 61 patients. Of the patients, 42.6 % were aged 40–60 years, and 54.1 % were women. One patient was switched to general anesthesia due to block failure, and the patient was excluded from the study. Three patients experienced complications (prolonged sensory block of 15 h in two patients, and sensory paralysis of one month in one patient. The tourniquet times of the patients were almost equal.There was a statistically significant difference between the first and final measurements of patients' Median Nerve Diameter, Radial Nerve Diameter, Ulnar Nerve Diameter, Median Nerve Sensory Amplitude, Ulnar Nerve Sensory Amplitude, Radial Nerve Sensory Amplitude, Ulnar Nerve Motor Amplitude, Median Sensory Latency, Ulnar Sensory Latency, and Radial Sensory Latency(p &lt; 0.05).). In both patients with and without DM, the difference between the first and last measurements of Median Nerve Diameter, Radial Nerve Diameter, Ulnar Nerve Diameter, Median Sensory Latency, and Radial Sensory Latency was statistically significant (p &lt; 0, 05).</div></div><div><h3>Conclusion</h3><div>Involuntary intraneural injections can occur with peripheral nerve blocks. When the effect of the increase in nerve diameter due to local anesthesia and appropriate tourniquet duration on nerve damage is evaluated by nerve conduction studies, although it causes partial impairment of nerve function (slowing of nerve conduction, decrease in amplitude), it generally does not cause permanent nerve damage.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102980"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-based learning in orthopaedics: A qualitative systematic review","authors":"Mainak Roy ,&nbsp;Priyadarshini T ,&nbsp;M.S. Ashika ,&nbsp;Gurudip Das ,&nbsp;Bishnu Prasad Patro ,&nbsp;Sanjeevi Bharadwaj","doi":"10.1016/j.jcot.2025.102986","DOIUrl":"10.1016/j.jcot.2025.102986","url":null,"abstract":"<div><h3>Introduction</h3><div>Simulation-based learning has emerged as a transformative tool in orthopaedic education, significantly improving surgical training and patient safety. This systematic review examines the role of simulation in enhancing technical skills, decision-making, and clinical competence among orthopaedic trainees.</div></div><div><h3>Methods</h3><div>A systematic review was conducted to assess the effectiveness of simulation-based training in orthopaedics. Various simulation modalities, including virtual reality (VR), augmented reality (AR), haptic feedback systems, and task-based trainers, were analyzed for their impact on skill acquisition and retention. The study was registered with PROSPERO (ID: CRD420250652679).</div></div><div><h3>Results</h3><div>Key findings suggest that simulation-based training leads to reduced surgical errors, faster learning curves, and better skill retention. However, challenges such as high costs, limited access to advanced simulation tools, and difficulties in integrating these technologies into traditional curricula persist.</div></div><div><h3>Conclusion</h3><div>Simulation is expected to play a crucial role in modernizing orthopaedic education by providing safe, repeatable practice opportunities. Future directions include AI-driven training modules and collaborative VR platforms to further enhance training efficacy and patient outcomes.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"65 ","pages":"Article 102986"},"PeriodicalIF":0.0,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}