Performance Assessment of Arthroscopic Rotator Cuff Repair and Labral Repair in a Dry Shoulder Simulator

Dwyer, Tim; Schachar, Rachel; Leroux, Tim; Petrera, Massimo; Cheung, Jeffrey J. H.; Greben, Rachel; Henry, Patrick; Theodoropoulos, John; Chahal, Jaskarndip

doi:10.1016/j.arthro.2017.01.047

Cited by 16 publications

(12 citation statements)

References 33 publications

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“…The studies were broadly split into 3 categories: studies measuring the impact of a simulation training intervention (26 studies 6 - 31 ), studies assessing the construct validity of a simulator designed for training surgeons (42 studies 32 - 73 ), and studies validating an assessment tool (37 studies 74 - 110 ) (see Appendix Tables 1 and 2, column 1). Of the included studies, 60% assessed arthroscopic skill involving the knee (34 studies) 6 , 8 , 9 , 13 , 15 , 17 , 19 , 31 - 33 , 36 , 38 , 39 , 41 , 42 , 47 , 48 , 54 - 56 , 63 , 74 , 75 , 77 - 83 , 86 , 87 , 89 , 91 , the shoulder (25 studies) 7 , 12 , 15 , 16 , 18 , 20 , 37 , 40 , 44 , 45 , 49 , 51 , 53 , 54 , 56 , 63 , 76 , 77 , 81 , 82 , 88 , 90 - 92 , 110 , the hip (3 studies) 43 , 50 , 85 , the ankle (1 study) 14 , and basic general arthroscopic skills (6 studies)…”

Section: Resultsmentioning

confidence: 99%

“…They also can be used in both the simulated and live theater environment. They show reasonable construct validity 68 , 77 , 96 , 98 , concurrent validity 37 , 77 , 96 , 102 , 103 , and reliability 37 , 88 , 114 . With their limitations in mind, checklists are perhaps most appropriate for novice learners in a formative setting 1 .…”

Section: Discussionmentioning

confidence: 96%

“…They are generalizable between procedures and can be used to assess complex procedures when there is >1 accepted method. They can discriminate between competent and expert performance, and there are many studies demonstrating their content 17 , 96 and concurrent validity 17 , 77 , 85 , 96 , 98 , 103 and their reliability 17 , 37 , 66 , 96 . They require expert surgeon evaluators and are more time-consuming to administer, and may be susceptible to assessor bias, as domains of assessment such as instrument handling and respect for tissue are inherently quite subjective.…”

Section: Discussionmentioning

confidence: 99%

“…Several novel objective assessment tools have been developed and combine task-specific checklists with a global rating scale. The most promising front-runners among these are the Arthroscopic Surgical Skill Evaluation Tool (ASSET) 36 , 37 , 77 , which combines a task-specific checklist with an 8-domain global rating scale with end and middle descriptive anchors, and the Objective Structured Assessment of Technical Skills (OSATS) tool 23 , 93 (see Appendix Table 3). While the ASSET is obviously restricted to arthroscopic procedures, both have a growing body of evidence across all domains of the utility index (Table II).…”

Section: Discussionmentioning

confidence: 99%

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Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

et al. 2020

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Background: Robust assessment of skills acquisition and surgical performance during training is vital to ensuring operative competence among orthopaedic surgeons. A move to competency-based surgical training requires the use of tools that can assess surgical skills objectively and systematically. The aim of this systematic review was to describe the evidence for the utility of assessment tools used in evaluating operative performance in trauma and orthopaedic surgical training. Methods: We performed a comprehensive literature search of MEDLINE, Embase, and Google Scholar databases to June 2019. From eligible studies we abstracted data on study aim, assessment format (live theater or simulated setting), skills assessed, and tools or metrics used to assess surgical performance. The strengths, limitations, and psychometric properties of the assessment tools are reported on the basis of previously defined utility criteria. Results: One hundred and five studies published between 1990 and 2019 were included. Forty-two studies involved open orthopaedic surgical procedures, and 63 involved arthroscopy. The majority (85%) were used in the simulated environment. There was wide variation in the type of assessment tools in used, the strengths and weaknesses of which are assessor and setting-dependent. Conclusions: Current technical skills-assessment tools in trauma and orthopaedic surgery are largely procedure-specific and limited to research use in the simulated environment. An objective technical skills-assessment tool that is suitable for use in the live operative theater requires development and validation, to ensure proper competency-based assessment of surgical performance and readiness for unsupervised clinical practice. Clinical Relevance: Trainers and trainees can gain further insight into the technical skills assessment tools that they use in practice through the utility evidence provided.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

et al. 2020

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“…Additionally, technical errors arise from the technical errors arising from the limitations of hand-eye coordination required for arthroscopic systems, especially for novice arthroscopists. Several studies have shown that training using a dry or virtual simulator is effective and safe for overcoming these issues [5-7]. However, cost-effectiveness remains a limitation of every training hospital.…”

Section: Introductionmentioning

confidence: 99%

Improvement of arthroscopic surgical performance using a new wide-angle arthroscope

Kwak

Kholinne

2018

Preprint

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BackgroundWe have developed a new arthroscope with a field of view of 150°. This requires less motion to maneuver, and the optical error is decreased. It also improves how novices learn arthroscopy. We hypothesized that surgical performance using this arthroscope is superior to a conventional arthroscope. This study tested the hypothesis using motion analysis and a new validated parameter, “dimensionless squared jolt” (DSJ).MethodsWe compared the surgical performance using between the wide-angle and the conventional arthroscope among 14 novice orthopedic residents who performed three standardized tasks three times with each arthroscope. The tasks simulated arthroscopic rotator cuff repair surgical skills. Their motion was analyzed using an optical tracking system. The differences in performance parameters, such as time taken, average acceleration of the hands (m/s2), the number of movements, and the total path length (m) including DSJ between the two arthroscopes, were investigated using paired t-tests.ResultsAll the estimated values for the tasks using the 150° arthroscope were lower than those for the 105° arthroscope. There were statistically significant differences in performance between the two arthroscopes only for DSJ (p = 0.014) and average acceleration (p = 0.039).ConclusionsDSJ and average acceleration are reliable parameters for representing hand-eye coordination. The surgical performance of novice arthroscopists was better with the new wide-angle arthroscope than with the conventional arthroscope.

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Does Sawbone-Based Arthroscopy Module (SBAM) Can Help Elbow Surgeons?

Luceri

Arrigoni

Barco

et al. 2020

IJOO

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Performance Assessment of Arthroscopic Rotator Cuff Repair and Labral Repair in a Dry Shoulder Simulator

Cited by 16 publications

References 33 publications

Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

Analysis of Tools Used in Assessing Technical Skills and Operative Competence in Trauma and Orthopaedic Surgical Training

Improvement of arthroscopic surgical performance using a new wide-angle arthroscope

Does Sawbone-Based Arthroscopy Module (SBAM) Can Help Elbow Surgeons?

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