Asset Details
Do you wish to reserve the book?
Digitally enhanced hands-on surgical training (DEHST) enhances the performance during freehand nail distal interlocking
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Digitally enhanced hands-on surgical training (DEHST) enhances the performance during freehand nail distal interlocking
Do you wish to request the book?
Digitally enhanced hands-on surgical training (DEHST) enhances the performance during freehand nail distal interlocking
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Digitally enhanced hands-on surgical training (DEHST) enhances the performance during freehand nail distal interlocking
2024
Overview
Purpose
Freehand distal interlocking of intramedullary nails remains a challenging task. Recently, a new training device for digitally enhanced hands-on surgical training (DEHST) was introduced, potentially improving surgical skills needed for distal interlocking.
Aim
To evaluate whether training with DEHST enhances the performance of novices (first-year residents without surgical experience in freehand distal nail interlocking).
Methods
Twenty novices were randomly assigned to two groups and performed distal interlocking of a tibia nail in mock operation under operation-room-like conditions. Participants in Group 1 were trained with DEHST (five distal interlocking attempts, 1 h of training), while those in Group 2 did not receive training. Time, number of X-rays shots, hole roundness in the X-rays projection and hit rates were compared between the groups.
Results
Time to complete the task [414.7 s (range 290–615)] and X-rays exposure [17.8 µGcm
2
(range 9.8–26.4)] were significantly lower in Group 1 compared to Group 2 [623.4 s (range 339–1215),
p
= 0.041 and 32.6 µGcm
2
(range 16.1–55.3),
p
= 0.003]. Hole projections were significantly rounder in Group 1 [95.0% (range 91.1–98.0) vs. 80.8% (range 70.1–88.9),
p
< 0.001]. In Group 1, 90% of the participants achieved successful completion of the task in contrast to a 60% success rate in Group 2. This difference was not statistically significant (
p
= 0.121).
Conclusions
In a mock-operational setting, training with DEHST significantly enhanced the performance of novices without surgical experience in distal interlocking of intramedullary nails and hence carries potential to improve safety and efficacy of this important and demanding surgical task to steepen the learning curve without endangering patients.
Level of evidence
II.
Publisher
Springer Berlin Heidelberg,Springer Nature B.V
