A Novel Simulation Model and Training Program for Minimally Invasive Surgery of Hallux Valgus

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dc.catalogadoryvc
dc.contributor.authorMorales Díaz, Sergio Luis
dc.contributor.authorLam, Peter
dc.contributor.authorCerrato, Rebecca
dc.contributor.authorMococain, Pablo
dc.contributor.authorRuz Laurent, Cristian Andrés
dc.contributor.authorFilippi Nussbaum, Jorge Luis
dc.contributor.authorVilla Massiff, Andrés Alberto
dc.contributor.authorVaras Cohen, Julian Emanuel
dc.date.accessioned2024-08-22T15:07:19Z
dc.date.available2024-08-22T15:07:19Z
dc.date.issued2024
dc.description.abstractBackground: Minimally invasive surgery (MIS) for hallux valgus (HV) has gained popularity. However, adopting this technique faces the challenges of a pronounced learning curve. This study aimed to address these challenges by developing and validating an innovative simulation model and training program, targeting enhanced proficiency in HV MIS.Methods:A training program and a high-fidelity simulation model for HV MIS were designed based on experts' recommendations. Four foot and ankle surgeons without experience in MIS formed the novice group and took the program that encompassed six-session instructional lessons, hands-on practice on simulated models, and immediate feedback. The program concluded with a cadaveric surgery. Four foot and ankle experienced MIS surgeons formed the expert group and underwent the same procedure with one simulated model. Participants underwent blind assessment, including Objective Structured Assessment of Technical Skills (OSATS), surgical time, and radiograph usage.Results:Expert evaluation of the simulation model indicated high satisfaction with anatomical representation, handling properties, and utility as a training tool. The expert group consistently outperformed novices at the initial assessment across all outcomes, demonstrating OSATS scores of 24 points (range, 23 to 25) versus 15.5 (range, 12 to 17), median surgical time of 22.75 minutes (range, 12 to 27) versus 48.75 minutes (range, 38 to 60), and median radiograph usage of 70 (range, 53 to 102) versus 232.5 (range, 112 to 280).Discussion:Novices exhibited a significant improvement in OSATS scores from the fifth session onward (P = 0.01), reaching the desired performance of 20 points. Performance at the final training with the simulated model did not differ from cadaveric surgery outcomes for all parameters.Conclusion:This study validated a simulation model and training program, allowing nonexperienced HV MIS foot and ankle surgeons to enhance their surgical proficiency and effectively complete a substantial portion of the learning curve at the fifth session, and this performance was successfully transferred to a cadaver model.
dc.description.funderPontificia Universidad Católica de Chile
dc.fechaingreso.objetodigital2024-08-22
dc.format.extent10 páginas
dc.fuente.origenWoS
dc.identifier.doi10.5435/JAAOS-D-24-00316
dc.identifier.eissn1940-5480
dc.identifier.issn1067-151X
dc.identifier.urihttps://doi.org/10.5435/JAAOS-D-24-00316
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87599
dc.identifier.wosidWOS:001283060900010
dc.information.autorucEscuela de Medicina; Morales Díaz, Sergio Luis; 0000-0002-7766-4097; 1035705
dc.information.autorucEscuela de Medicina; Ruz Laurent, Cristian Andrés; S/I; 186171
dc.information.autorucEscuela de Medicina; Filippi Nussbaum, Jorge Luis; 0000-0002-0222-3086; 10948
dc.information.autorucEscuela de Medicina; Villa Massiff, Andrés Alberto; S/I; 19041
dc.information.autorucEscuela de Medicina; Varas Cohen, Julian Emanuel; 0000-0002-5828-9623; 134158
dc.issue.numero16
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.finale825
dc.pagina.inicioe816
dc.publisherLippincott Williams & Wilkins
dc.revistaJournal of the American Academy of Orthopaedic Surgeons
dc.rightsacceso restringido
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods04 Quality education
dc.subject.ods03 Good health and well-being
dc.subject.odspa04 Educación de calidad
dc.subject.odspa03 Salud y bienestar
dc.titleA Novel Simulation Model and Training Program for Minimally Invasive Surgery of Hallux Valgus
dc.typeartículo
dc.volumen32
sipa.codpersvinculados1035705
sipa.codpersvinculados186171
sipa.codpersvinculados10948
sipa.codpersvinculados19041
sipa.codpersvinculados134158
sipa.trazabilidadWoS;2024-08-17
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