Theodora Papavasiliou, Gemma Batten, Oliver Bloom, Jeffrey C Y Chan, Charles J Bain, Lauren Uppal
{"title":"利用3D打印的离体仿生技术改进手部骨折的切开复位和内固定（ORIF）模拟训练。","authors":"Theodora Papavasiliou, Gemma Batten, Oliver Bloom, Jeffrey C Y Chan, Charles J Bain, Lauren Uppal","doi":"10.1007/s00238-023-02062-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>A step-ladder approach training using three-dimensional (3D)-printed ex vivo hand biomimetics was employed on a cohort of 15 plastic surgery residents (<i>n</i> = 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.</p><p><strong>Results: </strong>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 (<i>p</i> < 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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":12054,"journal":{"name":"European Journal of Plastic Surgery","volume":" ","pages":"1-7"},"PeriodicalIF":0.6000,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116095/pdf/","citationCount":"0","resultStr":"{\"title\":\"Utilising 3D-printed ex vivo biomimetics to improve open reduction and internal fixation (ORIF) simulation training for hand fractures.\",\"authors\":\"Theodora Papavasiliou, Gemma Batten, Oliver Bloom, Jeffrey C Y Chan, Charles J Bain, Lauren Uppal\",\"doi\":\"10.1007/s00238-023-02062-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>A step-ladder approach training using three-dimensional (3D)-printed ex vivo hand biomimetics was employed on a cohort of 15 plastic surgery residents (<i>n</i> = 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.</p><p><strong>Results: </strong>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 (<i>p</i> < 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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":12054,\"journal\":{\"name\":\"European Journal of Plastic Surgery\",\"volume\":\" \",\"pages\":\"1-7\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2023-04-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116095/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Plastic Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s00238-023-02062-4\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Plastic Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00238-023-02062-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
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 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.
期刊介绍：
Europe has always been an area of dynamic development in plastic surgery. Its great strength has been the lack of uniformity of this development due to differing cultures, different traditions, and differing medical and surgical philosophies. Over the recent years, these changes have been even more striking and rapid. The European Journal of Plastic Surgery creates a focal point for the input of new advances in clinical techniques and in research. It thus becomes an educational vehicle. In addition to this, the journal provides information on what is going on elsewhere in the world, and it is also willing to accept contributions from outside of Europe. Fields of interest include general plastic and reconstructive surgery, head and neck surgery, aesthetic and craniofacial surgery, hand surgery, microsurgery, treatment of bones, trauma, burn management and basic research related to all aspects of plastic surgery.Submitted articles are first evaluated by the Editor in Chief and if judged appropriate, are peer-reviewed by at least two selected experts. Reviewers may be plastic surgeons or other surgical/ medical specialists with expertise in specific areas of research. Manuscripts provisionally accepted for publication may be returned to the author for corrections or clarifications, in response to suggestions by the Editorial Board or external reviewers, prior to final acceptance. Online submission and peer review for rapid online publication are offered through the Editorial Manager System. The system creates a PDF version of the submitted article for peer review, revision and proofing. All correspondence, including the request for revisions and final decision, is managed by e-mail. Authors are guided step by step through the full process and are kept up to date on the article’s progress at every stage. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.Reports of animal experiments must state that the ''Principles of laboratory animal care'' (NIH publication No. 86-23, revised in 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable.Acknowledgments of people, grants, funds, etc. should be placed in a separate section before the reference list. The names of funding organizations should be written in full. Authors are also required to disclose any relationships with public or private commercial or noncommercial entities, any institutional affiliations, or any personal associations that might pose a conflict of interest.The Editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfill the above-mentioned requirements.
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