ISAKOS: 2023 Congress in Boston, MA USA

2023 ISAKOS Biennial Congress ePoster

 

Cadaveric Simulation for Diagnostic Knee Arthroscopy Learning

Adnene Benammou, MD TUNISIA
Mehdi Bellil, MD, Tunis TUNISIA
Mohamed Amine Jaouadi, MD, Tunis TUNISIA
Walid Balti, MD, Ariana TUNISIA
Mondher Kooli, Prof, Tunis TUNISIA
Mohamed Ben Salah, MD, Tunis TUNISIA

Charles Nicolle Hospital, Tunis, TUNISIA

FDA Status Not Applicable

Summary

Evaluation of residents learning curves and satisfaction with simulation on cadaveric specimens

ePosters will be available shortly before Congress

Abstract

Background

Arthroscopic surgery is the standard treatment for meniscus and ligament knee injuries. Arthroscopic simulator can be expensive and is not available in low income country. Arthroscopic simulation on cadaveric specimens is an interesting way surgical learning skill especially for orthopedic residents. The purpose of our study was to evaluate the learning curves arthroscopic basic skills for orthopedics residents.

Methods

It was a prospective and descriptive study including orthopedic residents from the Charles Nicolle Hospital, evaluated on three progressive manipulations (n=33) of simulated exploratory knee arthroscopy on cadavers, performed in the forensic medicine department of the same hospital. We collected data related to the exploration through the evaluation forms filled in by the referring surgeon during the simulation sessions performed by the residents. We conducted a self-evaluation and satisfaction survey among the residents retained in the study.

Results

The arthroscopic exploration time had progressively decreased during successive manipulations with an average duration of 8min15. The average time bonus of the three manipulations was 8.33/25 points. The average of the points related to the exploration of the anatomical elements of the three passages was 51.32/75 points. In the end, the average of the total exploration score was 59.66/100 points. The results of the resident self-assessment and satisfaction surveys showed that seven learners would qualify their level as beginner. Residents were satisfied with this learning cycle with a score of 7.45/10. The average progression was estimated at 6.90/10. Residents rated the usefulness of this type of learning with an average score of 8.81/10. All residents would like to include these training sessions as a mandatory part of the residency program.

Conclusion

Our study confirmed the privileged place of simulation and experimental surgery in the learning of surgical procedures. Cadaveric simulation can provide a good mean of learning for residents with an accurate representation of joints and a low cost. It also confirmed the importance of transdisciplinary collaboration with forensic medicine in this field in order to offer a realistic learning experience.