Orthopaedic Hand Surgical Simulation Training: A Review

Overview

Journal J Hand Microsurg

Date 2024 Jun 10

PMID 38855522

Authors

Payton M Boere

Amir R Kachooei

Asif M Ilyas

Affiliations

Soon will be listed here.

Abstract

In recent years, new orthopaedic surgical simulation and virtual reality (VR) training models have emerged to provide unlimited education medium to an unlimited number of trainees with no time limit, especially in response to trainee work-hour restrictions. Surgical simulators range from simple wooden boxes to animal and cadaver models to three-dimensional-printed and VR simulators. The coronavirus disease 2019 pandemic further highlighted the need for at-home learning tools for orthopaedic surgical trainees. Advancement in simulating shoulder and knee arthroscopies using VR simulators surpasses the other fields in orthopaedic surgery. Despite the high degree of precision needed to operate at a microscopic level involving vessels, nerves, and the small bones of the hand, the simulation tools have limited advancement in the field of orthopaedic hand surgery. This narrative review summarizes the status of surgical simulation and training techniques available to orthopaedic hand surgical trainees, factors affecting their application, and areas in hand surgery that still lag behind their surgical subspecialty counterparts.

References

Bing E, Brown M, Cuevas A, Sullivan R, Parham G . User Experience With Low-Cost Virtual Reality Cancer Surgery Simulation in an African Setting. JCO Glob Oncol. 2021; 7:435-442. PMC: 8081482. DOI: 10.1200/GO.20.00510. View

Ali S, Ibrahim A . Course Review: Birmingham and Coventry Hand and Forearm Cadaveric Dissection Course. Ann Plast Surg. 2018; 80(6):596-597. DOI: 10.1097/SAP.0000000000001389. View

Prunieres G, Taleb C, Hendriks S, Miyamoto H, Kuroshima N, Liverneaux P . Use of the Konnyaku Shirataki noodle as a low fidelity simulation training model for microvascular surgery in the operating theatre. Chir Main. 2014; 33(2):106-11. DOI: 10.1016/j.main.2013.12.003. View

Qassemyar Q, Boulart L . A 4-task skills examination for residents for the assessment of technical ability in hand trauma surgery. J Surg Educ. 2014; 72(2):179-83. DOI: 10.1016/j.jsurg.2014.10.006. View

Gasteratos K, Paladino J, Akelina Y, Mayer H . Superiority of living animal models in microsurgical training: beyond technical expertise. Eur J Plast Surg. 2021; 44(2):167-176. PMC: 7875764. DOI: 10.1007/s00238-021-01798-1. View

Hetaimish B . Sawbones laboratory in orthopedic surgical training. Saudi Med J. 2016; 37(4):348-53. PMC: 4852011. DOI: 10.15537/smj.2016.4.13575. View

VanHeest A, Kuzel B, Agel J, Putnam M, Kalliainen L, Fletcher J . Objective structured assessment of technical skill in upper extremity surgery. J Hand Surg Am. 2012; 37(2):332-7. 337.e1-4. DOI: 10.1016/j.jhsa.2011.10.050. View

Vankipuram M, Kahol K, McLaren A, Panchanathan S . A virtual reality simulator for orthopedic basic skills: a design and validation study. J Biomed Inform. 2010; 43(5):661-8. DOI: 10.1016/j.jbi.2010.05.016. View

Chouari T, Lindsay K, Bradshaw E, Parson S, Watson L, Ahmed J . An enhanced fresh cadaveric model for reconstructive microsurgery training. Eur J Plast Surg. 2018; 41(4):439-446. PMC: 6061477. DOI: 10.1007/s00238-018-1414-3. View

10.

Mayne I, Brydges R, Moktar J, Murnaghan M . Development and Assessment of a Distal Radial Fracture Model as a Clinical Teaching Tool. J Bone Joint Surg Am. 2016; 98(5):410-6. DOI: 10.2106/JBJS.O.00565. View

11.

Malic C, Jivan S, Majumder S . A simple model for hand trauma training. J Hand Surg Eur Vol. 2007; 32(5):578-80. DOI: 10.1016/J.JHSE.2007.05.008. View

12.

Sayari A, Chen O, Harada G, Lopez G . Success of Surgical Simulation in Orthopedic Training and Applications in Spine Surgery. Clin Spine Surg. 2020; 34(3):82-86. DOI: 10.1097/BSD.0000000000001070. View

13.

Schout B, Hendrikx A, Scheele F, Bemelmans B, Scherpbier A . Validation and implementation of surgical simulators: a critical review of present, past, and future. Surg Endosc. 2009; 24(3):536-46. PMC: 2821618. DOI: 10.1007/s00464-009-0634-9. View

14.

Bremner N, Ellabban M . A re-usable model for teaching and practising tendon repair techniques. J Hand Surg Eur Vol. 2007; 32(6):726. DOI: 10.1016/J.JHSE.2007.05.014. View

15.

McLarney E, Hoffman H, Wolfe S . Biomechanical analysis of the cruciate four-strand flexor tendon repair. J Hand Surg Am. 1999; 24(2):295-301. DOI: 10.1053/jhsu.1999.0295. View

16.

Kempton S, Salyapongse A, Israel J, Mandel B . Surgical Education Module Improves Operative Proficiency in Endoscopic Carpal Tunnel Release: A Blinded Randomized Controlled Trial of Trainees. J Surg Educ. 2017; 75(2):442-449. DOI: 10.1016/j.jsurg.2017.08.004. View

17.

Kovacs G, Levitan R, Sandeski R . Clinical Cadavers as a Simulation Resource for Procedural Learning. AEM Educ Train. 2018; 2(3):239-247. PMC: 6050063. DOI: 10.1002/aet2.10103. View

18.

Tulipan J, Miller A, Park A, Labrum 4th J, Ilyas A . Touch Surgery: Analysis and Assessment of Validity of a Hand Surgery Simulation "App". Hand (N Y). 2018; 14(3):311-316. PMC: 6535950. DOI: 10.1177/1558944717751192. View

19.

Smith A, Forder J, Annapureddy S, Reddy K, Amis A . The porcine forelimb as a model for human flexor tendon surgery. J Hand Surg Br. 2005; 30(3):307-9. DOI: 10.1016/j.jhsb.2005.02.003. View

20.

Holmes W, Tehrani H, Mishra A, McPhail J, McArthur P . The use of a silicone flexor tendon as a teaching model for flexor tendon repair: a clear view. J Plast Reconstr Aesthet Surg. 2012; 66(2):294-5. DOI: 10.1016/j.bjps.2012.08.022. View