Use of Knee Fractures Physical Replicas for Surgical Training and Rehearsal: Proof of Concept Study

6 pages•Published: September 25, 2020

Angelo Capodici, Paolo Domenico Parchi, Sara Condino, Marina Carbone, Vincenzo Ferrari, Ilenia Pasqua, Mauro Ferrari and Michelangelo Scaglione

Abstract

In the last years also in orthopedic surgery, there was an increasing interest in the development of surgical simulators using methods of additive manufacturing combined or not with augmented reality systems (hybrid simulators). Aim of this work was to evaluate the use of a new patient’s specific tibial plateau fractures simulator for surgical training of young resident surgeons in fracture fixation with an external fixator. The simulator is a realistic knee phantom including a patient-specific replica of a fractured tibia and fibula, obtained by CT segmentation and rapid prototyping techniques. Each training session started with the presentation, and planning, of the surgical case that it was followed by the external fixation session on the simulator. At the end of each session, all participants were asked to fill out a questionnaire, concerning the phantom realism and appropriateness as a teaching modality. The results of the Likert Questionnaire indicating that there is an overall significant agreement with the phantom realism and its appropriateness as a teaching modality.
The solid model of the patient’s anatomy can faithfully reproduce the surgical complexity of the patient and it allows to generate surgical simulators with an increasing difficulty to perform structured training paths: from the "simple" case to the "complex" case. The use of simulators based on 3D models has proved to be a very useful tool both for didactic and surgical training purposes, allowing surgeons to perform a real procedure simulation outside the surgical room.

Keyphrases: 3d printing, additive manufacturing, surgical simulation, surgical training, tibial fracture

In: Ferdinando Rodriguez Y Baena and Fabio Tatti (editors). CAOS 2020. The 20th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery, vol 4, pages 22-27.

Links:	https://easychair.org/publications/paper/JHvC
	https://doi.org/10.29007/m6wn

BibTeX entry

@inproceedings{CAOS2020:Use_Knee_Fractures_Physical,
  author    = {Angelo Capodici and Paolo Domenico Parchi and Sara Condino and Marina Carbone and Vincenzo Ferrari and Ilenia Pasqua and Mauro Ferrari and Michelangelo Scaglione},
  title     = {Use of Knee Fractures Physical Replicas for Surgical Training and Rehearsal: Proof of Concept Study},
  booktitle = {CAOS 2020. The 20th Annual Meeting of the International Society for Computer Assisted Orthopaedic Surgery},
  editor    = {Ferdinando Rodriguez Y Baena and Fabio Tatti},
  series    = {EPiC Series in Health Sciences},
  volume    = {4},
  publisher = {EasyChair},
  bibsource = {EasyChair, https://easychair.org},
  issn      = {2398-5305},
  url       = {/publications/paper/JHvC},
  doi       = {10.29007/m6wn},
  pages     = {22-27},
  year      = {2020}}

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