Effect of Training Modules on Hip Fracture Surgical Skills Simulation Performance

• DOI: 10.2106/jbjs.19.00505
• Publication Date: 2019-10-09T18:31:42Z
• Authors: Annie Weber; Christopher Domes; Matthew Christian; Max Coale; Cullen Griffith; Nathan N. O’Hara; R. Frank Henn; Robert V. O’Toole; Marcus F. Sciadini
• Keywords: Driving simulator

Background: A preliminary validation study on a computer-based force-feedback simulation platform demonstrated the ability of simulator to distinguish between novice and experienced users during simulated hip-pinning procedure. The purpose present was further investigate whether associated training modules are effective for improving user performance percutaneous procedures. Methods: With institutional review board approval, 24 medical students at our institution were randomized "Trained" "Untrained" groups. After basic introduction, Untrained group placed 3 guidewires in valgus-impacted femoral neck fracture with use simulator. Trained completed 9 simulator-based before performing same task. Measured outcomes included an overall score distance from pin various ideals neck, head articular surface, lateral cortex. Performance parameters compared groups Mann-Whitney U test. Results: achieved significantly higher (median, 29) 6) (p < 0.01), outperformed 4 specific metrics, trended toward improvement over placement measures 0.2). Conclusions: Completion novel hip pinning this fluoroscopic surgery improves skill objective measurements orthopaedic procedure non-simulator-trained surgically inexperienced users. Improvement 13 implies that more effectively teach only certain motor 3-dimensional spatial skills. Clinical Relevance: valid such as one described here has potential improve surgical education trauma.