Skip to main content
SpringerLink
Log in

Arthroscopic Simulation in Skills Training: European Initiatives

  • Chapter
  • First Online:
ESSKA Instructional Course Lecture Book

  • 1042 Accesses

Abstract

Arthroscopic surgery has become the leading operative therapy for a growing number of injuries. Obtaining arthroscopic skills is quite. That is why learning arthroscopic skills takes considerable time and implicates an increased risk of surgical errors during the early stages of the learning curve when operating on patients. As patient safety and competence in surgery are of utmost importance to fulfil requirements of high-quality healthcare, there is a need for efficient and effective training. We present the current state-of-the-art in arthroscopic training.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tuijthof GJ, van Sterkenburg MN, Sierevelt IN, van Oldenrijk J, van Dijk CN, Kerkhoffs GM. First validation of the PASSPORT training environment for arthroscopic skills. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):218–24.

    Article  PubMed  Google Scholar 

  2. Modi CS, Morris G, Mukherjee R. Computer-simulation training for knee and shoulder arthroscopic surgery. Arthroscopy. 2010;26(6):832–40.

    Article  PubMed  Google Scholar 

  3. Pedowitz RA, Esch J, Snyder S. Evaluation of a virtual reality simulator for arthroscopy skills development. Arthroscopy. 2002;18(6):E29.

    Article  PubMed  Google Scholar 

  4. Tuijthof GJM. Technical improvement of arthroscopic techniques. Delft University of Technology, Department of Design, Engineering and Production, Section Man–machine systems, Delft; 2003.

    Google Scholar 

  5. Barrett DS, Green RG, Copeland SA. Arthroscopic and endoscopic skills: a method of assessment. Ann R Coll Surg Engl. 1991;73(2):100–4.

    CAS  PubMed Central  PubMed  Google Scholar 

  6. Cannon WD, Eckhoff DG, Garrett Jr WE, Hunter RE, Sweeney HJ. Report of a group developing a virtual reality simulator for arthroscopic surgery of the knee joint. Clin Orthop Relat Res. 2006;442:21–9.

    Article  PubMed  Google Scholar 

  7. McCarthy AD, Moody L, Waterworth AR, Bickerstaff DR. Passive haptics in a knee arthroscopy simulator: is it valid for core skills training? Clin Orthop Relat Res. 2006;442:13–20.

    Article  PubMed  Google Scholar 

  8. O’Neill PJ, Cosgarea AJ, Freedman JA, Queale WS, McFarland EG. Arthroscopic proficiency: a survey of orthopaedic sports medicine fellowship directors and orthopaedic surgery department chairs. Arthroscopy. 2002;18(7):795–800.

    Article  PubMed  Google Scholar 

  9. Morris AH, Jennings JE, Stone RG, Katz JA, Garroway RY, Hendler RC. Guidelines for privileges in arthroscopic surgery. Arthroscopy. 1993;9(1):125–7.

    Article  CAS  PubMed  Google Scholar 

  10. Wolpert DM, Ghahramani Z. Computational principles of movement neuroscience. Nat Neurosci. 2000;3(Suppl):1212–7.

    Article  CAS  PubMed  Google Scholar 

  11. Kaufman HH, Wiegand RL, Tunick RH. Teaching surgeons to operate–principles of psychomotor skills training. Acta Neurochir (Wien). 1987;87(1–2):1–7.

    Article  CAS  Google Scholar 

  12. Gomoll AH, Pappas G, Forsythe B, Warner JJ. Individual skill progression on a virtual reality simulator for shoulder arthroscopy: a 3-year follow-up study. Am J Sports Med. 2008;36(6):1139–42.

    Article  PubMed  Google Scholar 

  13. Bayona S, Fernandez-Arroyo JM, Martin I, Bayona P. Assessment study of insight ARTHRO VR arthroscopy virtual training simulator: face, content, and construct validities. J Robot Surg. 2008;2(3):151–8.

    Article  Google Scholar 

  14. Tuijthof GJ, Visser P, Sierevelt IN, van Dijk CN, Kerkhoffs GM. Does perception of usefulness of arthroscopic simulators differ with levels of experience? Clin Orthop Relat Res. 2011;469:1701–8.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Biggs J. Constructing learning by aligning teaching: constructive alignment. In: Biggs J, editor. Teaching for quality learning at university. 2nd ed. Berkshire: Open University Press; 2003. p. 11–33.

    Google Scholar 

  16. Safir O, Dubrowski A, Mirsky L, Lin C, Backstein D, Carnahan A. What skills should simulation training in arthroscopy teach residents? Int J Comput Assist Radiol Surg. 2008;3(5):433–7.

    Article  Google Scholar 

  17. Hui Y, Safir O, Dubrowski A, Carnahan H. What skills should simulation training in arthroscopy teach residents? A focus on resident input. Int J Comput Assist Radiol Surg. 2013;8:945–53.

    Article  CAS  PubMed  Google Scholar 

  18. Obdeijn MC, Bavinck N, Mathoulin C, van der Horst CM, Schijven MP, Tuijthof GJ. Education in wrist arthroscopy: past, present and future. Knee Surg Sports Traumatol Arthrosc. 2013.

    Google Scholar 

  19. Hurmusiadis V, Rhode K, Schaeffter T, Sherman K. Virtual arthroscopy trainer for minimally invasive surgery. Stud Health Technol Inform. 2011;163:236–8.

    PubMed  Google Scholar 

  20. Chami G, Ward JW, Phillips R, Sherman KP. Haptic feedback can provide an objective assessment of arthroscopic skills. Clin Orthop Relat Res. 2008;466(4):963–8.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Alvand A, Auplish S, Khan T, Gill HS, Rees JL. Identifying orthopaedic surgeons of the future: the inability of some medical students to achieve competence in basic arthroscopic tasks despite training: a randomised study. J Bone Joint Surg Br. 2011;93(12):1586–91.

    Article  CAS  PubMed  Google Scholar 

  22. van Hove PD, Tuijthof GJ, Verdaasdonk EG, Stassen LP, Dankelman J. Objective assessment of technical surgical skills. Br J Surg. 2010;97(7):972–87.

    Article  PubMed  Google Scholar 

  23. Tuijthof GJ, Horeman T, Schafroth MU, Blankevoort L, Kerkhoffs GM. Probing forces of menisci: what levels are safe for arthroscopic surgery. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):248–54.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Karahan M, Unalan PC, Bozkurt S, Odabas I, Akgun U, Cifcili S, et al. Correlation of basic motor skills with arthroscopic experience. Acta Orthop Traumatol Turc. 2009;43(1):49–53.

    Article  PubMed  Google Scholar 

  25. Unalan PC, Akan K, Orhun H, Akgun U, Poyanli O, Baykan A, et al. A basic arthroscopy course based on motor skill training. Knee Surg Sports Traumatol Arthrosc. 2010;18(10):1395–9.

    Article  PubMed  Google Scholar 

  26. Dubrowski A, Backstein D. The contributions of kinesiology to surgical education. J Bone Joint Surg Am. 2004;86-A(12):2778–81.

    PubMed  Google Scholar 

  27. Neiman Z. Teaching specific motor skills for conducting to young music students. Percept Mot Skills. 1989;68(3 Pt 1):847–58.

    Article  CAS  PubMed  Google Scholar 

  28. Neequaye SK, Aggarwal R, Brightwell R, Van Herzeele I, Darzi A, Cheshire NJ. Identification of skills common to renal and iliac endovascular procedures performed on a virtual reality simulator. Eur J Vasc Endovasc Surg. 2007;33(5):525–32.

    Article  CAS  PubMed  Google Scholar 

  29. Moody L, Waterworth A, McCarthy AD, Harley P, Smallwood R. The feasibility of a mixed reality surgical training environment. Virtual Real. 2008;12:77–86.

    Article  Google Scholar 

  30. Howells NR, Gill HS, Carr AJ, Price AJ, Rees JL. Transferring simulated arthroscopic skills to the operating theatre: a randomised blinded study. J Bone Joint Surg Br. 2008;90(4):494–9.

    Article  CAS  PubMed  Google Scholar 

  31. Sherman KP, Ward JW, Wills DP, Sherman VJ, Mohsen AM. Surgical trainee assessment using a VE knee arthroscopy training system (VE-KATS): experimental results. Stud Health Technol Inform. 2001;81:465–70.

    CAS  PubMed  Google Scholar 

  32. Sherman KP, Ward JW, Wills DP, Mohsen AM. A portable virtual environment knee arthroscopy training system with objective scoring. Stud Health Technol Inform. 1999;62:335–6.

    CAS  PubMed  Google Scholar 

  33. O’Connor A, Schwaitzberg SD, Cao CG. How much feedback is necessary for learning to suture? Surg Endosc. 2008;22(7):1614–9.

    Article  PubMed  Google Scholar 

  34. Bliss JP, Hanner-Bailey HS, Scerbo MW. Determining the efficacy of an immersive trainer for arthroscopy skills. Stud Health Technol Inform. 2005;111:54–6.

    PubMed  Google Scholar 

  35. Howells NR, Brinsden MD, Gill RS, Carr AJ, Rees JL. Motion analysis: a validated method for showing skill levels in arthroscopy. Arthroscopy. 2008;24(3):335–42.

    Article  PubMed  Google Scholar 

  36. Pollard TC, Khan T, Price AJ, Gill HS, Glyn-Jones S, Rees JL. Simulated hip arthroscopy skills: learning curves with the lateral and supine patient positions: a randomized trial. J Bone Joint Surg Am. 2012;94(10):e68.

    Article  PubMed  Google Scholar 

  37. Jackson WF, Khan T, Alvand A, Al-Ali S, Gill HS, Price AJ, et al. Learning and retaining simulated arthroscopic meniscal repair skills. J Bone Joint Surg Am. 2012;94(17):e132.

    Article  CAS  PubMed  Google Scholar 

  38. Alvand A, Auplish S, Gill H, Rees J. Innate arthroscopic skills in medical students and variation in learning curves. J Bone Joint Surg Am. 2011;93(19):e115–9.

    Article  PubMed  Google Scholar 

  39. Harewood GC, Murray F, Winder S, Patchett S. Evaluation of formal feedback on endoscopic competence among trainees: the EFFECT trial. Ir J Med Sci. 2008;177(3):253–6.

    Article  CAS  PubMed  Google Scholar 

  40. Insel A, Carofino B, Leger R, Arciero R, Mazzocca AD. The development of an objective model to assess arthroscopic performance. J Bone Joint Surg Am. 2009;91(9):2287–95.

    Article  PubMed  Google Scholar 

  41. Alvand A, Khan T, Al-Ali S, Jackson WF, Price AJ, Rees JL. Simple visual parameters for objective assessment of arthroscopic skill. J Bone Joint Surg Am. 2012;94(13):e97.

    Article  CAS  PubMed  Google Scholar 

  42. Mabrey JD, Gillogly SD, Kasser JR, Sweeney HJ, Zarins B, Mevis H, et al. Virtual reality simulation of arthroscopy of the knee. Arthroscopy. 2002;18(6):E28.

    Article  PubMed  Google Scholar 

  43. McCarthy AD, Hollands RJ. A commercially viable virtual reality knee arthroscopy training system. Stud Health Technol Inform. 1998;50:302–8.

    CAS  PubMed  Google Scholar 

  44. Tashiro Y, Miura H, Nakanishi Y, Okazaki K, Iwamoto Y. Evaluation of skills in arthroscopic training based on trajectory and force data. Clin Orthop Relat Res. 2009;467(2):546–52.

    Article  PubMed Central  PubMed  Google Scholar 

  45. Tuijthof G, Sierevelt IN, Dijk C, Kerkhoffs G. Is the presence of a dummy leg essential in the SIMENDO arthroscopy trainer? Knee Surg Sport Tr A. 2010;18(1):16.

    Google Scholar 

  46. Horeman T, Rodrigues SP, van den Dobbelsteen JJ, Jansen FW, Dankelman J. Visual force feedback in laparoscopic training. Surg Endosc. 2012;26(1):242–8.

    Article  PubMed Central  PubMed  Google Scholar 

  47. Rosen KR. The history of medical simulation. J Crit Care. 2008;23(2):157–66.

    Article  PubMed  Google Scholar 

  48. Michelson JD. Simulation in orthopaedic education: an overview of theory and practice. J Bone Joint Surg Am. 2006;88(6):1405–11.

    Article  PubMed  Google Scholar 

  49. Poss R, Mabrey JD, Gillogly SD, Kasser JR, Sweeney HJ, Zarins B, et al. Development of a virtual reality arthroscopic knee simulator. J Bone Joint Surg Am. 2000;82-A(10):1495–9.

    CAS  PubMed  Google Scholar 

  50. Ward JW, Wills DPM, Sherman KP, Mohsen AMMA. The development of an arthroscopic surgical simulator with haptic feedback. Future Generation Comput Syst. 1998;14(3–4):243–51.

    Article  Google Scholar 

  51. Kunkler K. The role of medical simulation: an overview. Int J Med Robot. 2006;2(3):203–10.

    Article  PubMed  Google Scholar 

  52. Meyer RD, Tamarapalli JR, Lemons JE. Arthroscopy training using a “black box” technique. Arthroscopy. 1993;9(3):338–40.

    Article  CAS  PubMed  Google Scholar 

  53. Holm S. A simple sequentially rejective multiple test procedure. Scand J Stat. 1979;6(2):65–70.

    Google Scholar 

  54. Hall MP, Kaplan KM, Gorczynski CT, Zuckerman JD, Rosen JE. Assessment of arthroscopic training in U.S. orthopedic surgery residency programs–a resident self-assessment. Bull NYU Hosp Jt Dis. 2010;68(1):5–10.

    PubMed  Google Scholar 

  55. Poehling GG, Lubowitz JH, Brand R, Buckwalter JA, Wright TM, Canale ST, et al. Patient care, professionalism, and relations with industry. Arthroscopy. 2008;24(1):4–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Marmara University School of Medicine, Istanbul, Turkey

    Mustafa Karahan MD

  2. Academic Medical Centre, Amsterdam, The Netherlands

    Gabrielle Tuijthof PhD, MSc

  3. Delft University of Technology, Delft, The Netherlands

    Gabrielle Tuijthof PhD, MSc

Authors
  1. Mustafa Karahan MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gabrielle Tuijthof PhD, MSc
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gabrielle Tuijthof PhD, MSc .

Editor information

Editors and Affiliations

  1. Istituti Ortopedico Rizzoli Clinica Ortopedica Traumatologica III, Bologna, Italy

    Stefano Zaffagnini

  2. Klinikum Brandenburg Orthopädie und Unfallchirurgie, Brandenburg an der Havel, Germany

    Roland Becker

  3. Department of Orthopedic Surgery, Academic Medical Centre Amsterdam University of Amsterdam, Amsterdam, The Netherlands

    Gino M.M.J. Kerkhoffs

  4. Clínica Espregueira Mendes, Porto, Portugal

    João Espregueira Mendes

  5. Orthopedic Surgery, University of Amsterdam Academic Medical Centre, Amsterdam, The Netherlands

    C. Niek van Dijk

Rights and permissions

Reprints and permissions

Copyright information

© 2014 ESSKA

About this chapter

Cite this chapter

Karahan, M., Tuijthof, G. (2014). Arthroscopic Simulation in Skills Training: European Initiatives. In: Zaffagnini, S., Becker, R., Kerkhoffs, G., Espregueira Mendes, J., van Dijk, C. (eds) ESSKA Instructional Course Lecture Book. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-53983-1_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-53983-1_16

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-53982-4

  • Online ISBN: 978-3-642-53983-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation