Computer-Based Training System for Simulating Wrist Arthroscopy

Yaacoub, Fadi; Hamam, Yskandar; Abche, Antoine

doi:10.1109/cbms.2008.67

Cited by 6 publications

(3 citation statements)

References 4 publications

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“…For training arthroscopic skills, knee and shoulder arthroscopy simulators are of interest (Table 2). The first mention on the Internet of a wrist arthroscopy simulator is from Yaacoub in 2008 [57]. No proof of concept was found, nor signs of further development were found.…”

Section: Simulatorsmentioning

confidence: 99%

Education in wrist arthroscopy: past, present and future

Obdeijn

Bavinck

Mathoulin

et al. 2013

Knee Surg Sports Traumatol Arthrosc

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Section: Simulatorsmentioning

confidence: 99%

Education in wrist arthroscopy: past, present and future

Obdeijn

Bavinck

Mathoulin

et al. 2013

Knee Surg Sports Traumatol Arthrosc

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“…Both in vivo and in vitro methods have been described for arthroscopic training in the knee, [1][2][3][4][5][6] shoulder, [7][8][9] ankle, 10 hip, 11 and wrist. 12,13 Advanced courses now focus on specific skillsets. 14,15 In addition to these developments, the simultaneous monitoring of arthroscopic screens and the re-evaluation of arthroscopy records continue to form a vital basis for education in this subject area.…”

mentioning

confidence: 99%

Novice Surgeon Portal Preference to Visualize the Femoral Anterior Cruciate Ligament Footprint: The Accessory Medial Portal Offers Improved Visualization

Eren

Bilgic

2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To evaluate participant opinions on the appropriateness of different viewing angles by asking 8 questions, using visual content techniques. Methods Survey information from participants was used in this study. We used images of a patient who was operated on for symptomatic knee instability. Participants were asked whether the visual angle could determine the femoral tunnel entry point or evaluate anterior cruciate ligament (ACL) integrity. Results Questionnaires were completed by 40 participants. When all responses were evaluated, participant opinions on the accessory medial portal (AMP) were more positive than opinions on images taken from the anterolateral portal (ALP). These observations were statistically significant ( P < .005). Both ACL integrity assessments and femoral tunnel entry site questions were evaluated, we observed that participant opinions on the AMP for both types of evaluation were more positive than opinions on the ALP. This observation was statistically significant ( P < .005). When evaluations with photos and video transcripts were compared, no significant differences in terms of participant opinions were observed ( P < .005). Conclusions AMP use may be a valuable tool for assistant and postgraduate education, as it offers a more suitable view angle for ACL reconstruction. Level of evidence Level V, survey study.

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“…There were three modules for this simulator, covering multimedia area, simulation kernel and interaction system. In the wrist arthroscopic simulator presented in [58], the objects within the wrist joint were generated from CT images. A linear programming method was utilized for the collision detection.…”

Section: Research-based Vr Arthroscopic Surgery-training Simulatorsmentioning

confidence: 99%

Thin deformable tissues modeling for simulation of arthroscopic knee surgery

Weng¹

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Minimally invasive surgery is common in present hospitals since it has many advantages over traditional open surgery. However, the skills which it requires are very different from those developed in doing traditional surgery, and they have to be learnt in a different way. A survey of the current training methods reveals that using virtual reality simulators is a promising direction for training minimally invasive surgery, and it requires the developers to improve accuracy and efficiency of human tissue simulations. A further survey of existing deformable models for real time surgical-training simulations leads to the conclusion that there is room for research for developing new thin tissue models in which one of the dimensions is significantly smaller than the other two. A new generic model is proposed for deformation and cutting of thin deformable tissues in real time. The tissues may develop wrinkles when pressed with virtual probes, as well as they can be trimmed and cut with different virtual surgical instruments using desktop haptic devices. The model is then applied to three tissues for simulating virtual arthroscopic surgery: meniscus, ligament and cartilage. The main attention was paid to the meniscus to be realistically deformed while developing wrinkles when tested with the virtual probe, as well as to be cut and trimmed at its edge with various virtual instruments. Ligaments were simulated for displaying their realistic deformation when examined with the surgical hook and cartilage was IV mostly used to modeling its geometry and elastic properties when examined with haptic devices. A side-by-side comparison with actual surgical videos verifies the simulation accuracy. To demonstrate its flexibility, the model was also applied to other objects such as a piece of meat and a thin paper sheet. To validate the obtained results, a virtual reality knee arthroscopic prototype simulator is developed. The proposed models are combined with a scene graph structure and implemented using SOFA. The performances for the implementation of different settings of collision meshes are compared and discussed. The usability and feasibility of the proposed methods are further verified by the real time simulations of various surgical procedures, which include meniscus examination, punching out torn tissues, removing tissues pieces by pieces, and contouring the edge of meniscus.

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Computer-Based Training System for Simulating Wrist Arthroscopy

Cited by 6 publications

References 4 publications

Education in wrist arthroscopy: past, present and future

Education in wrist arthroscopy: past, present and future

Novice Surgeon Portal Preference to Visualize the Femoral Anterior Cruciate Ligament Footprint: The Accessory Medial Portal Offers Improved Visualization

Thin deformable tissues modeling for simulation of arthroscopic knee surgery

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