Simulation-based Arthroscopic Surgery Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Arthroscopy Training
- Sponsor
- University of Oxford
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Number of Hand Movements Required by Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of this study is to determine whether simulation training improves the performance during arthroscopic surgery ('keyhole' surgery into a joint).
Detailed Description
This single blinded randomised controlled study of junior orthopaedic trainees aims to assess whether the addition of simulation training improves arthroscopic technical skills performance of junior orthopaedic trainees during knee arthroscopy in the operating theatre compared to their usual clinical training programme. This will be assessed using objective motion analysis parameters recorded from wireless elbow-mounted motion sensors during surgery.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participant is willing and able to give informed consent for participation in the study.
- •Healthy adults, Male or Female, aged 18 years or above.
- •Enrolled in Health Education Thames Valley/Oxford Deanery Training Programme in junior surgical training posts
Exclusion Criteria
- •Unwilling or unable to provide informed consent
- •Previously completed higher surgical training programme
Outcomes
Primary Outcomes
Number of Hand Movements Required by Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre
Time Frame: 3 months
Wireless elbow-mounted accelerometer and gyroscopic sensors worn by the participant will generate 6 degree of freedom motion data (three rotational degrees around the x, y and z axes, known as 'roll', 'pitch', and 'yaw', and three translational degrees of freedom along x, y and z axes, known as 'surge', 'sway' and 'heave') which will be analysed using validated, bespoke algorithms to calculate the number of hand movements taken whilst performing a diagnostic knee arthroscopy according to a standardised protocol.
Secondary Outcomes
- Time Taken by Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre(3 months)
- Minor Hand Movements Required by Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre(3 months)
- Deviation From 'Idealised' Motion Parameters for Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre(3 months)
- Voxel Based Morphometry Structural Changes on fMRI (Functional Magnetic Resonance Imaging)(3 months)
- Diffusion Tractography Structural Changes on fMRI (Functional Magnetic Resonance Imaging)(3 months)
- Stationary Time of Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre(3 months)
- Quantitative Magnetisation Transfer Structural Changes on fMRI (Functional Magnetic Resonance Imaging)(3 months)
- Global Rating Scale Performance During Diagnostic Knee Arthroscopy in Theatre(3 months)
- Smoothness of Hand Movements by Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre(3 months)
- Idle Time of Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre(3 months)
- Motion Analysis Parameters During Simulation(3 months)
- Resting State Network Functional Changes on fMRI (Functional Magnetic Resonance Imaging)(3 months)
- Dominance of Participants to Perform a Diagnostic Arthroscopy of the Knee in Theatre(3 months)
- Feasibility of Additional Simulation Training(3 months)