Ankle fracture internal fixation performed by cadaveric simulation-trained versus standard-trained orthopaedic trainees: a preliminary, multicentre randomized controlled trial
| Autor: | Hannah K. James, Damian R. Griffin, James Griffin, Joanne D. Fisher, Giles T. R. Pattison |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
ankle fracture
simulation procedural training ankle fractures internal fixation randomized controlled trial ankle fracture fixations postoperative radiographs fracture fixation fracture reduction multicentre randomized controlled trial ankle fracture surgery radiographic imaging Orthopedic surgery RD701-811 |
| Zdroj: | Bone & Joint Open, Vol 4, Iss 8, Pp 594-601 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2633-1462 |
| DOI: | 10.1302/2633-1462.48.BJO-2022-0144.R1 |
| Popis: | Aims: Ankle fracture fixation is commonly performed by junior trainees. Simulation training using cadavers may shorten the learning curve and result in a technically superior surgical performance. Methods: We undertook a preliminary, pragmatic, single-blinded, multicentre, randomized controlled trial of cadaveric simulation versus standard training. Primary outcome was fracture reduction on postoperative radiographs. Results: Overall, 139 ankle fractures were fixed by 28 postgraduate year three to five trainee surgeons (mean age 29.4 years; 71% males) during ten months' follow-up. Under the intention-to-treat principle, a technically superior fixation was performed by the cadaveric-trained group compared to the standard-trained group, as measured on the first postoperative radiograph against predefined acceptability thresholds. The cadaveric-trained group used a lower intraoperative dose of radiation than the standard-trained group (mean difference 0.011 Gym2, 95% confidence interval 0.003 to 0.019; p = 0.009). There was no difference in procedure time. Conclusion: Trainees randomized to cadaveric training performed better ankle fracture fixations and irradiated patients less during surgery compared to standard-trained trainees. This effect, which was previously unknown, is likely to be a consequence of the intervention. Further study is required. Cite this article: Bone Jt Open 2023;4(8):594–601. |
| Databáze: | Directory of Open Access Journals |
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