Assessment of learning in simulator‐based arthroscopy training with the diagnostic arthroscopy skill score (DASS) and neurophysiological measures

Aksoy, Mehmet Emin; Kocaoglu, Baris; İzzetoglu, Kurtulus; Agrali, Atahan; Yoner, Serhat Ilgaz; Polat, Mert Deniz; Kayaalp, Mahmut Enes; Yozgatli, Tahir Koray; Kaya, Alper; Becker, Roland

doi:10.1007/s00167-023-07571-0

Cited by 5 publications

(1 citation statement)

References 52 publications

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“…There is a growing interest in the use of sensors in orthopaedics. Sensor-assisted Total Knee Arthroplasty or Sensor-guided Arthroscopy Training are common examples [1,2].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Activity and Knee Function of Patients after Total Knee Arthroplasty: A Sensor-Based Monitoring Study

Kersten,

Prill,

Hakam

et al. 2023

JPM

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Inertial measurement units (IMUs) are increasingly being used to assess knee function. The aim of the study was to record patients’ activity levels and to detect new parameters for knee function in the early postoperative phase after TKA. Twenty patients (n = 20) were prospectively enrolled. Two sensors were attached to the affected leg. The data were recorded from the first day after TKA until discharge. Algorithms were developed for detecting steps, range of motion, horizontal, sitting and standing postures, as well as physical therapy. The mean number of steps increased from day 1 to discharge from 117.4 (SD ± 110.5) to 858.7 (SD ± 320.1), respectively. Patients’ percentage of immobilization during daytime (6 a.m. to 8 p.m.) was 91.2% on day one and still 69.9% on the last day. Patients received daily continuous passive motion therapy (CPM) for a mean of 36.4 min (SD ± 8.2). The mean angular velocity at day 1 was 12.2 degrees per second (SD ± 4.4) and increased to 28.7 (SD ± 16.4) at discharge. This study shows that IMUs monitor patients’ activity postoperatively well, and a wide range of interindividual motion patterns was observed. These sensors may allow the adjustment of physical exercise programs according to the patient’s individual needs.

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“…There is a growing interest in the use of sensors in orthopaedics. Sensor-assisted Total Knee Arthroplasty or Sensor-guided Arthroscopy Training are common examples [1,2].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Activity and Knee Function of Patients after Total Knee Arthroplasty: A Sensor-Based Monitoring Study

Kersten,

Prill,

Hakam

et al. 2023

JPM

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Movement‐based cognitive training does not significantly shorten the learning curve for acquiring arthroscopic basic skills

Alt,

Hamacher,

Anetzberger

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeSkilful arthroscopy requires an aboveaverage level of manual dexterity. It is evident that particular motor skills can be learned and trained before arthroscopic training. The aim of this prospective cohort study was to investigate the impact of movement‐related cognitive training on the learning curve during arthroscopic basic training.MethodsFifty right‐handed participants without arthroscopic experience were matched to an intervention group (n = 25) and a control group (n = 25). Prior to basic arthroscopic skill training with a simulator, the intervention group underwent 12 weeks of movement‐related cognitive training. Cognitive and motor skills were assessed in both groups by using standardised tests (CogniFit test, angle reproduction test, two‐arm coordination test) as a pretest and, for the intervention group, again before arthroscopic training as a posttest. For arthroscopic simulator training, three tasks (‘Telescoping’, ‘Periscoping’, ‘Triangulation’) from the Fundamentals of Arthroscopic Surgery Training module were selected and practiced 10 times with the camera in the right and left hands. The learning progress was quantified by exercise time, camera path length and hook path length.ResultsNo significant differences in sex distribution, age distribution or the results of the pretests between the intervention group (n = 21) and the control group (n = 25) were found (n.s.). The intervention group improved significantly from the pretest to the posttest in the CogniFit (p = 0.003) and two‐arm coordination test in terms of time (p < 0.001) and errors (p = 0.002) but not in the angle reproduction test. No significant differences were found between the groups for the three arthroscopic tasks.ConclusionThe hypothesis that movement‐related cognitive training shortens the learning curve for acquiring arthroscopic basic skills cannot be confirmed. Other factors influencing the learning curve such as talent, teaching method and motivation have a greater impact on the acquisition of complex motor skills.Level of EvidenceLevel II.

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Pros and cons of sub‐specialisation in orthopaedics and traumatology—Is the general orthopaedic and trauma surgeon a relic of the past?

Ostojic,

Hakam,

Sabalic

et al. 2024

Knee surg. sports traumatol. arthrosc.

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The evolution of orthopaedics has witnessed a pronounced shift from generalist practice to subspecialisation, a trend that has fundamentally reshaped the field over the past century. Originally, orthopaedic surgeons were trained to address a broad spectrum of musculoskeletal conditions. However, increasing complexity and specialization in knowledge have driven a progressive narrowing of focus within orthopaedics. This editorial explores the rise of subspecialty training and fellowship programs in orthopaedics, particularly in North America, where over 90% of orthopaedic surgeons now pursue subspecialty fellowships. While subspecialisation has improved surgical outcomes and created experts in specific anatomical regions and techniques, it has also led to challenges. Surgeons with highly focused expertise may face difficulties in managing conditions outside their niche, and subspecialisation may inadvertently limit comprehensive patient care, especially for those with complex, multi‐faceted needs. The career paths of orthopaedic trainees are increasingly shaped by both personal interests and market demands, with subspecialists seeking greater professional and economic benefits. Additionally, orthopaedic training models in Europe vary, further complicating a unified approach to subspecialisation. This editorial calls for a balanced perspective that values both subspecialty excellence and the broad‐based skills of orthopaedic generalists, particularly as the future of generalist orthopaedic practice faces uncertainty amidst ongoing subspecialisation trends.

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Assessment of learning in simulator‐based arthroscopy training with the diagnostic arthroscopy skill score (DASS) and neurophysiological measures

Cited by 5 publications

References 52 publications

Postoperative Activity and Knee Function of Patients after Total Knee Arthroplasty: A Sensor-Based Monitoring Study

Postoperative Activity and Knee Function of Patients after Total Knee Arthroplasty: A Sensor-Based Monitoring Study

Movement‐based cognitive training does not significantly shorten the learning curve for acquiring arthroscopic basic skills

Pros and cons of sub‐specialisation in orthopaedics and traumatology—Is the general orthopaedic and trauma surgeon a relic of the past?

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