Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of Medical Systems
Erschienen in: Journal of Medical Systems 9/2018

01.09.2018 | Education & Training

A Systematic Review on Orthopedic Simulators for Psycho-Motor Skill and Surgical Procedure Training

verfasst von: Darshan D. Ruikar, Ravindra S. Hegadi, K. C. Santosh

Erschienen in: Journal of Medical Systems | Ausgabe 9/2018

Einloggen, um Zugang zu erhalten

Abstract

Precise simulators can replicate complete understanding of the models. In this survey, we focus on orthopedic simulators that are not only in replicating real-world models but also in educating with complete procedure: surgical, for instance. It covers 18 hip replacement, three-knee replacement, three facial surgeries, one spine surgery and six orthopedic psycho-motor skills training and assessment-based simulators. We also provide comparative studies and highlight current trends and possible challenges. We observed that orthopedic training methodologies have undergone a paradigm shift. This means that the simulators replace the use of sensitive hospital settings for training and skill acquisition. In brief, we address classified overview on existing orthopedic simulators: physical and Virtual Reality (VR)-based simulators. Key steps to develop computer-assisted, VR-based simulator are explored. Experts’ opinion on the use of simulation technologies in the field of orthopedics is discussed.
Fußnoten
2
EdHeads Hip Resurfacing Online Game (2007), available at: https://​edheads.​site-ym.​com/​page/​hip_​resurfacing
 
3
About the BoneDoc Simulator. http://​bonedoc.​org/​about.​html
 
6
Construct validity: the degree to which the simulator can assess the technical skills of the trainees.
 
7
Face validity: degree to which a simulator appears similar to the real procedure.
 
8
Transfer validity: extent to which the simulator learned skills are transferred into improved skill in-vivo.
 
20
Ascension, 3D Guidance trackSTAR and drivebay 6DoF. https://​www.​ascension-tech.​com/​products/​trakstar-drivebay/​
 
24
Northern Digital Inc., Polaris optical tracking system. https://​www.​ndigital.​com/​medical/​products/​polaris-family/​
 
Literatur
1.
Torkington, J., Smith, S. G., Rees, B. I., and Darzi, A., The role of simulation in surgical training. Ann. R. Coll. Surg. Engl. 82(2):88–94, 2000.PubMedPubMedCentral
2.
Akhtar, K. S. N., Chen, A., Standfield, N. J., and Gupte, C. M., The role of simulation in developing surgical skills. Curr. Rev. Muscoskelet. Med. 7(2):155–160, 2014.CrossRef
3.
Ziv, A., Small, S.D., and Wolpe, P.R., Patient safety and simulation-based medical education. Med. Teach. 22(5):489–495, 2000.CrossRef
4.
Mabrey, Jay D., Reinig, Karl D., and Dilworth Cannon, W., Virtual reality in orthopaedics: is it a reality. Clin. Orthop. Relat. Res. 468(10):2586–2591, 2010.CrossRefPubMedPubMedCentral
5.
Mohan, A., and Proctor, M., Virtual reality – a ’play station’ of the future A review of virtual reality and orthopaedics. Acta Orthop. Belg. 72(6):659–663, 2006.PubMed
6.
7.
Windsor, J.A., Role of simulation in surgical education and training. ANZ J. Surg. 79(3):127–132, 2009.CrossRefPubMed
8.
Riaz, A. A., and Alexander, J. F., The role and validity of surgical simulation. Int. Surg. 100(2):155–160, 2015.
9.
Vaughan, N., Dubey, V.N., Wainwright, T.W., and Middleton, R.G.: Does virtual-reality training on orthopaedic simulators improve performance in the operating room? In: Science and information conference (SAI), pages 51–54. IEEE, 2015
10.
G Lopez, R., Wright, D., Martin, J., Bracey, J.D., and Gupta, R., A cost-effective junior resident training and assessment simulator for orthopaedic surgical skills via fundamentals of orthopaedic surgery: AAOS exhibit selection. J. Bone Joint Surg. Am. 97(8):659–666, 2015.CrossRef
11.
Stirling, E.R.B., Lewis, T.L., and Ferran, N.A., Surgical skills simulation in trauma and orthopaedic training. J. Orthop. Surg. Res. 9(1):126–135, 2014.CrossRefPubMedPubMedCentral
12.
Johns, B.D., The creation and validation of an augmented reality orthopaedic drilling simulator for surgical training. PhD thesis: University of Iowa, 2008.
13.
Issenberg, B.S., McGaghie, W.C., Hart, I.R., Mayer, J.W., Felner, J.M., Petrusa, E.R., Waugh, R.A., Brown, D.D., Safford, R.R., and Gessner, I.H., Simulation technology for health care professional skills training and assessment. Jama 282(9):861–866, 1999.CrossRefPubMed
14.
Vankipuram, M., Kahol, K., McLaren, A., and Panchanathan, S., A virtual reality simulator for orthopedic basic skills: A design and validation study. J. Biomed. Inform. 43(5):661–668, 2010.CrossRefPubMed
15.
Madan, S.S., and Pai, D.R., Role of simulation in arthroscopy training. Simul. Healthc. 9(2):127–135, 2014.CrossRefPubMed
16.
Pedowitz, R.A., Esch, J., and Snyder, S., Evaluation of a virtual reality simulator for arthroscopy skills development. Arthroscopy: The J. Arthroscopic and Related Surgery 18(6):1–6, 2002.CrossRef
17.
Thomas, G.W., Anderson, D.D., Karam, M.D., Johns, B., Murillo, M.J., and ans Lawrence, S.R.: A flexible orthopaedic trauma surgery box skills trainer. Abstract and poster presented at the 37th Annual Meeting of the American Society of Biomechanics, Omaha, NE, 3, 2013
18.
Chou, Y.-J., Sun, S.-P., and Liu, H.-H., Calcaneal osteotomy preoperative planning system with 3d full-sized computer-assisted technology. J. Med. Syst. 35(5):755–763, 2011.CrossRefPubMed
19.
Wagner, A., Ploder, O., Enislidis, G., Truppe, M., and Ewers, R., Image-guided surgery. Int. J. Oral Maxillofac. Surg. 25(2):147–151, 1996.CrossRefPubMed
20.
Comaneanu, R.M., Tarcolea, M., Vlasceanu, D., and Cotrut, M.C., Virtual 3d reconstruction, diagnosis and surgical planning with mimics software. Int. J. Nano Biomater. 4(1):69–77, 2012.CrossRef
21.
Kyselova, O., Marchenko, A., Nastenko, I., Rudenko, K., and Mamalyha, A.: The use of three – dimensional modeling system mimics in studying process of medical-engineering specialty. In: Proceedings of International Conference ”Biomedical Engineering, pages 224–227. Biomedical Engineering Institute of Kaunas University of Technology, Kaunas, 2010.
22.
Materialise: Mimics student edition course work. Minics, 2015
23.
O’Toole, R.V., Jaramaz, B., DiGioia, A.M., Visnic, C.D., and Reid, R.H., Biomechanics for preoperative planning and surgical simulations in orthopaedics. Comput. Biol. Med. 25(2):183188–186191, 1995.
24.
Seel, M.J., Hafez, M.A., Eckman, K., Jaramaz, B., Davidson, D., and DiGioia III, A.M., Three – dimensional planning and virtual radiographs in revision total hip arthroplasty for instability. Clin. Orthop. Relat. Res. 442:35–38, 2006.PubMed
25.
Jun, Y., and Park, S., Polygon-based 3 D surgical planning system for hip operation. Int. J. Precis. Eng. Manuf. 12(1):157–160, 2011.CrossRef
26.
Dick, C., Georgii, J., Burgkart, R., and Westermann, R.: A 3 D simulation system for hip joint replacement planning. In: World congress on medical physics and biomedical engineering, September 7-12, 2009, pp. 363–366. Springer, Munich, 2010.
27.
Koch, R.M., Roth, M.S.H., Gross, M.H., Zimmermann, A.P., and Sailer, H.F.: A framework for facial surgery simulation. In: Proceedings of the 18th spring conference on Computer graphics, pp. 33–42 ACM, 2002
28.
Schmidt, J., Berti, G., Fingberg, J., Cao, J., and Wollny, G.: A finite element based tool chain for the planning and simulation of maxillo-facial surgery. Sciences New York, 1–17, 2004
29.
Digioia, A.M., Jaramaz, B., Nikou, C., Labarca, R.S., Moody, J.E., and Colgan, B.D., Surgical navigation for total hip replacement with the use of Hipnav. Oper. Tech. Orthop. 10(1):3–8, 2000.CrossRef
30.
O’Toole, R. V., Colgan, B., and Kischel12, E.: Hipnav: pre-operative planning and intra-operative navigational guidance for acetabular implant placement in total hip replacement surgery. In: Proceedings of the Computer Assisted Orthopaedic Surgery Symposium, Bern, Switzerland, pp. 3–8, 1996
31.
DiGioia, A.M., Jaramaz, B., Blackwell, M., Simon, D.A., Morgan, F., Moody, J.E., Nikou, C., Colgan, B.D., Aston, C.A., and LaBarca, R.S.: An image guided navigation system for accurate alignment in total hip replacement surgery. The Robotics Institute Carnegie Mellon University, 1998
32.
Sabri, H., Cowan, B., Kapralos, B., Porte, M., Backstein, D., and Dubrowskie, A., Serious games for knee replacement surgery procedure education and training. Procedia. Soc. Behav. Sci. 2(2):3483–3488, 2010.CrossRef
33.
Cowan, B.B.D., Total knee replacement serious game for surgical education and training. PhD thesis: University of Ontario Institute of Technology (Canada, 2012.
34.
Półjanowicz, W., Roszak, M., Kowalewski, W., and Kołodziejczak, B., Using a virtual learning environment as a key to the development of innovative medical education. Studies in Logic, Grammar and Rhetoric 39(1):123–142, 2014.CrossRef
35.
Blyth, P., Stott, N. S., and Anderson, I. A., A simulation-based training system for hip fracture fixation for use within the hospital environment. Injury 38(10):1197–1203, 2007.CrossRefPubMed
36.
Tsai, M.-D., Hsieh, M.-S., and Jou, S.-B., Virtual reality orthopedic surgery simulator. Comput. Biol. Med. 31(5):333–351, 2001.CrossRefPubMed
37.
Delp, S.L., Loan, P.J., Hoy, M.G., Zajac, F.E., Topp, E.L., and Rosen, J.M., An interactive graphics-based model of the lower extremity to study orthopaedic surgical procedures. IEEE Trans. Biomed. Eng. 37(8):757–767, 1990.CrossRefPubMed
38.
Blyth, Dr P.: Virtual reality simulation of hip surgery. PhD thesis, Bioengineering Institute University of Auckland, 2008
39.
Blyth, P., Stott, N. S., and Anderson, I. A., Virtual reality assessment of technical skill using the Bonedoc DHS simulator. Injury 39(10):1127–1133, 2008.CrossRefPubMed
40.
Blyth, P., and Sehgal, P.: Use of the Bonedoc DHS simulator by fifth year medical students: A pilot study. In: Proceedings of ASCILITE-Australian society for computers in learning in tertiary education annual conference, 74–80, 2009
41.
Pransky, J., ROBODOC - surgical robot success story. Industrial Robot: An International Journal 24(3): 231–233, 1997.CrossRef
42.
Assassi, L., Charbonnier, C., Schmid, J., Volino, P., and Magnenat-Thalmann, N., From MRI to anatomical simulation of the hip joint. Comput. Anim. Virtual Worlds 20(1):53–66, 2009.CrossRef
43.
Dev, P., Fellingham, L.L., Vassiliadis, A., Woolson, S.T., White, D.N., and Young, S.L.: 3D graphics for interactive surgical simulation and implant design. In: 28th annual technical symposium, pp. 52–57. International Society for Optics and Photonics, 1984
44.
Seth, T., Chaudhary, V., Buyea, C., and Bone, L.: A virtual interactive navigation system for orthopaedic surgical interventions. In: Proceedings of the 4th International Symposium on Applied Sciences in Biomedical and Communication Technologies, pp. 71. ACM, 2011
45.
Cecil, J., Ramanathan, P., Rahneshin, V., Prakash, A., and Pirela-Cruz, M.: Collaborative virtual environments for orthopedic surgery. In: 2013 IEEE international conference on automation science and engineering CASE, pp. 133–137. IEEE, 2013
46.
Fuerst, D., Hollensteiner, M., and Schrempf, A.: Assessment parameters for a novel simulator in minimally invasive spine surgery. In: 2015 37th annual international conference of the IEEE engineering in medicine and biology society (EMBC), pp. 5110–5113. IEEE, 2015
47.
Vankipuram, M., Haptic rendering of volumetric data through perceptual parameterization. PhD thesis: Arizona state university, 2008.
48.
Tsai, M.D., Hsieh, M.S., and Tsai, C.H., Bone drilling haptic interaction for orthopedic surgical simulator. Comput. Biol. Med. 37(12):1709–1718, 2007.CrossRefPubMed
49.
Hsish, M.S., Tsai, M.D., and Yeh, Y.D., An amputation simulator with bone sawing haptic interaction. Biomed Eng Appl Basis Commun 18(05):229–236, 2006.CrossRef
50.
Wang, Q., Qin, J., Wang, W., Shan, J., Zhang, J., Liu, X., and Heng, P.-A.: Haptic rendering of drilling process in orthopedic surgical simulation based on the volumetric object. In: 2015 IEEE international conference on digital signal processing (DSP), pp. 1098–1101. IEEE, 2015
51.
Aziz, M.H., and Ayub, M.A., Measurement of forces and torques during non homogeneous material drilling operation. Int. J. Adv. Sci. Eng. Inf. Technol. 1(1):92–97, 2011.CrossRef
52.
Boiadjiev, G., Kastelov, R., Boiadjiev, T., Delchev, K., and Zagurski, K., Automatic bone drilling-more precise, reliable and safe manipulation in the orthopaedic surgery. J. Theor. Appl. Mech. 46(2):51–64, 2016.CrossRef
53.
Pinto, M.L., Sabater, J.M., Sofrony, J., Badesa, F.J., Rodriguez, J., and Garcia, N.: Haptic simulator for training of total knee replacement. In: 2010 3rd IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics (BioRob), pp. 221–226. IEEE, 2010
54.
Lin, Y., Wang, X., Fule, W.U., Chen, X., Wang, C., and Shen, G., Development and validation of a surgical training simulator with haptic feedback for learning bone-sawing skill. J. Biomed. Inform. 48:122–129, 2014.CrossRefPubMed
55.
Rambani, R., Ward, J., and Viant, W., Desktop-based computer-assisted orthopedic training system for spinal surgery. J. Surg. Educ. 71(6):805–809, 2014.CrossRefPubMed
56.
Rambani, R., Viant, W., Ward, J., and Mohsen, A., Computer-assisted orthopedic training system for fracture fixation. J. Surg. Educ. 70(3):304–308, 2013.CrossRefPubMed
57.
Barrow, A., Akhtar, K., Gupte, C., and Bello, F., Requirements analysis of a 5 degree of freedom haptic simulator for orthopedic trauma surgery. Stud. Health Technol. Inform. 184:43–47, 2013.PubMed
58.
Morris, D., Sewell, C., Barbagli, F., Salisbury, K., Blevins, N.H., and Girod, S.: Visuohaptic simulation of bone surgery for training and evaluation. IEEE Computer Graphics and Applications, 26(6), 2006
59.
Goswami, B., and Misra, S.K.R., 3D modeling of X-ray images: A review. Int. J. Comput. Appl. 132(7): 40–46, 2015.
60.
Elvins, T.T., A survey of algorithms for volume visualization. ACM Siggraph Comput. Graph. 26(3):194–201, 1992.CrossRef
61.
Qi, Z., Eagleson, R., and Peters, T.M., Volume visualization: a technical overview with a focus on medical applications. J. Digit. Imaging 24(4):640–664, 2011.CrossRef
62.
Lorensen, W.E., and Cline, H.E.: Marching cubes: A high resolution 3d surface construction algorithm. In: ACM siggraph computer graphics, volume 21, pages 163–169. ACM, 1987
63.
Salisbury, K., Conti, F., and Barbagli, F., Haptic rendering: introductory concepts. IEEE Comput. Graph. Appl. 24(2):24–32, 2004.CrossRefPubMed
64.
Kockara, S., Halic, T., Iqbal, K., Bayrak, C., and Rowe, R.: Collision detection: A survey. In IEEE international conference on systems, man and cybernetics, 2007. ISIC., pp. 4046–4051. IEEE, 2007
65.
Markelj, P., Tomaževič, D., Likar, B., and Pernuš, F., A review of 3D/2D registration methods for image-guided interventions. Med. Image Anal. 16(3):642–661, 2012.CrossRefPubMed
66.
Hill, D.L.G., Batchelor, P.G., Holden, M., and Hawkes, D.J., Medical image registration. Phys. Med. Biol. 46(3):R1, 2001.CrossRefPubMed
67.
Escobar-Castillejos, D., Noguez, J., Neri, L., Magana, A., and Benes, B.: A review of simulators with haptic devices for medical training. Journal of medical systems, 40(4), 2016
68.
Issenberg, S.B.: The scope of simulation-based healthcare education, 2006
69.
Pedowitz, R.A., and Marsh, L.J., Motor skills training in orthopaedic surgery: A paradigm shift toward a simulation-based educational curriculum. J. Am. Acad. Orthop. Surg. 20(7):407–409, 2012.CrossRefPubMed
70.
Hohn, E.A., Brooks, A.G., Leasure, J., Camisa, W., van Warmerdam, J., Kondrashov, D., Montgomery, W., and McGann, W., Development of a surgical skills curriculum for the training and assessment of manual skills in orthopedic surgical residents. J. Surg. Educ. 72(1):47–52, 2015.CrossRefPubMed
71.
Blyth, P., Anderson, I.A., and Stott, S.N., Virtual reality simulators in orthopedic surgery: What do the surgeons think? J. Surg. Res. 131(1):133–139, 2006.CrossRefPubMed
72.
Vaughan, N., Dubey, V.N., Wainwright, T.W., and Middleton, R.G.: Can virtual-reality simulators assess experience and skill level of orthopaedic surgeons?. In: Science and Information Conference (SAI), 2015, pp. 105–108. IEEE, 2015
73.
Kho, J.Y., Johns, B.D., Thomas, G.W., Karam, M.D., Marsh, L.J., and Anderson, D.D., A hybrid reality radiation-free simulator for teaching wire navigation skills. J. Orthop. Trauma 29(10):e385, 2015.CrossRefPubMedPubMedCentral
74.
Waterman, B.R., Martin, K.D., Cameron, K.L., Owens, B.D., and Belmont, J.P., Simulation training improves surgical proficiency and safety during diagnostic shoulder arthroscopy performed by residents. Orthopedics 39(3):e479–e485, 2016.CrossRefPubMed
75.
Eversbusch, A., and Grantcharov, T.P., Learning curves and impact of psychomotor training on performance in simulated colonoscopy: a randomized trial using a virtual reality endoscopy trainer. Surgical Endoscopy And Other Interventional Techniques 18(10):1514–1518, 2004.CrossRefPubMed
Metadaten
Titel
A Systematic Review on Orthopedic Simulators for Psycho-Motor Skill and Surgical Procedure Training
verfasst von
Darshan D. Ruikar
Ravindra S. Hegadi
K. C. Santosh
Publikationsdatum
01.09.2018
Verlag
Springer US
Erschienen in
Journal of Medical Systems / Ausgabe 9/2018
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-018-1019-1

Weitere Artikel der Ausgabe 9/2018

Journal of Medical Systems 9/2018 Zur Ausgabe

Systems-Level Quality Improvement

A Novel Open-Source Novel App Improves Anesthesia Operating Room Equipment Supply

Education & Training

The Association of Anesthesia Clinical Directors (AACD) Glossary of Times Used for Scheduling and Monitoring of Diagnostic and Therapeutic Procedures

Patient Facing Systems

Patients Decision Aid System Based on FHIR Profiles

Systems-Level Quality Improvement

Data Mining Algorithms and Techniques in Mental Health: A Systematic Review

Editorial

An EPIC Switch: Observations and Opportunities After Go-Live

Education & Training

Task2Heart: Exploring Heart Rate Differences with Time-Motion Workflow Observations of Emergency Medicine Physicians