INTRODUCTION: Simulators became important due to limitations of the traditional “see one, do one technique,” especially with large number of trainees and in order to reduce risks for the patients and possible negative outcomes from unexperienced surgeons.
AIM: The aim of this study is to determine advantages and disadvantages in skills training using a simulator.
MATERIALS AND METHODS: The simulator used for the study was VirtaMed ArthroS™. Training cases were divided into four groups depending on the number of completions. Then performance data were analyzed for procedure time and procedure time score, safety and economy score, and special scores for different training cases.
RESULTS AND DISCUSSION: Procedure time decreased significantly in all groups even on the second completion, economy score increased in all groups, except group 4, where it slightly decreased, and the safety score significantly increased in group 1 and 3, while in group 2 it was maximum from the beginning, and in group 4 it reached the maximum on the second completion.
CONCLUSION: A simulator is a tool that can be used for acquisition of initial arthroscopic skills and its use can reduce the risk to the patients.
Arroyo-Berezowsky C, Torres-Gómez A, Romo-Rodríguez R, Ruiz-Speare JO. Outcomes in virtual reality knee arthroscopy for residents and attending surgeons. J Musculoskelet Surg Res 2019; 3:189-95. doi: 10.4103/jmsr.jmsr_3_19.
Pedowitz RA. Virtual reality surgical simulation for arthroscopy training. J Med Educ Training. 2017;1:008.
Sterling ERB, Lewis TL, Ferran NA. Surgical skills simulation in trauma and orthopaedic training. J Orthop Surg Res. 2014;9:126. doi: 10.1186/s13018-014-0126-z.
Madan SS, Pai DR. Role of simulation in arthroscopy training. Sim Healthcare. 2014;9:127-35. doi: 10.1097/SIH.0b013e3182a86165.
Bartlett JD, Lawrence JE, Yan M, Guevel B, Stewart ME, Audenaert E, et al. The learning curves of validated virtual reality hip arthroscopy simulator. Arch Orthop Trauma Surg. 2020;140(6):761-7. doi: 10.1007/s00402-020-03352-3.
Rahm S, Wieser K, Wicki I, Holenstein L, Fucentese SF, Gerber C. Performance of medical students on a virtual reality simulator for knee arthroscopy: an analysis of learning curves and predictors of performance. BMC Surg. 2016;16:14. doi: 10.1186/s12893-016-0129-2.