Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking
<i>Background and Objectives:</i> Freehand distal interlocking of intramedullary nails is technically demanding and prone to handling issues. It requires precise placement of a screw through the nail under fluoroscopy guidance and can result in a time consuming and radiation expensive pr...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-06-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/58/6/773 |
| _version_ | 1797484568928845824 |
|---|---|
| author | Torsten Pastor Tatjana Pastor Philipp Kastner Firas Souleiman Matthias Knobe Boyko Gueorguiev Markus Windolf Jan Buschbaum |
| author_facet | Torsten Pastor Tatjana Pastor Philipp Kastner Firas Souleiman Matthias Knobe Boyko Gueorguiev Markus Windolf Jan Buschbaum |
| author_sort | Torsten Pastor |
| collection | DOAJ |
| description | <i>Background and Objectives:</i> Freehand distal interlocking of intramedullary nails is technically demanding and prone to handling issues. It requires precise placement of a screw through the nail under fluoroscopy guidance and can result in a time consuming and radiation expensive procedure. Dedicated training could help overcome these problems. The aim of this study was to assess construct and face validity of new Digitally Enhanced Hands-On Surgical Training (DEHST) concept and device for training of distal interlocking of intramedullary nails. <i>Materials and Methods:</i> Twenty-nine novices and twenty-four expert surgeons performed interlocking on a DEHST device. Construct validity was evaluated by comparing captured performance metrics—number of X-rays, nail hole roundness, drill tip position and drill hole accuracy—between experts and novices. Face validity was evaluated with a questionnaire concerning training potential and quality of simulated reality using a 7-point Likert scale. <i>Results:</i> Face validity: mean realism of the training device was rated 6.3 (range 4–7). Training potential and need for distal interlocking training were both rated with a mean of 6.5 (range 5–7), with no significant differences between experts and novices, <i>p</i> ≥ 0.234. All participants (100%) stated that the device is useful for procedural training of distal nail interlocking, 96% wanted to have it at their institution and 98% would recommend it to colleagues. Construct validity: total number of X-rays was significantly higher for novices (20.9 ± 6.4 versus 15.5 ± 5.3, <i>p</i> = 0.003). Success rate (ratio of hit and miss attempts) was significantly higher for experts (novices hit: <i>n</i> = 15; 55.6%; experts hit: <i>n</i> = 19; 83%, <i>p</i> = 0.040). <i>Conclusion:</i> The evaluated training device for distal interlocking of intramedullary nails yielded high scores in terms of training capability and realism. Furthermore, construct validity was proven by reliably discriminating between experts and novices. Participants indicate high further training potential as the device may be easily adapted to other surgical tasks. |
| first_indexed | 2024-03-09T23:07:14Z |
| format | Article |
| id | doaj.art-cd7b0e29b21345669a2447bb3d64f41a |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T23:07:14Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-cd7b0e29b21345669a2447bb3d64f41a2023-11-23T17:52:21ZengMDPI AGMedicina1010-660X1648-91442022-06-0158677310.3390/medicina58060773Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal InterlockingTorsten Pastor0Tatjana Pastor1Philipp Kastner2Firas Souleiman3Matthias Knobe4Boyko Gueorguiev5Markus Windolf6Jan Buschbaum7AO Research Institute Davos, 7270 Davos, SwitzerlandDepartment of Hand Surgery, Bern University Hospital, University of Bern, 8008 Bern, SwitzerlandAO Research Institute Davos, 7270 Davos, SwitzerlandAO Research Institute Davos, 7270 Davos, SwitzerlandDepartment of Orthopedic and Trauma Surgery, Lucerne Cantonal Hospital, 6000 Lucerne, SwitzerlandAO Research Institute Davos, 7270 Davos, SwitzerlandAO Research Institute Davos, 7270 Davos, SwitzerlandAO Research Institute Davos, 7270 Davos, Switzerland<i>Background and Objectives:</i> Freehand distal interlocking of intramedullary nails is technically demanding and prone to handling issues. It requires precise placement of a screw through the nail under fluoroscopy guidance and can result in a time consuming and radiation expensive procedure. Dedicated training could help overcome these problems. The aim of this study was to assess construct and face validity of new Digitally Enhanced Hands-On Surgical Training (DEHST) concept and device for training of distal interlocking of intramedullary nails. <i>Materials and Methods:</i> Twenty-nine novices and twenty-four expert surgeons performed interlocking on a DEHST device. Construct validity was evaluated by comparing captured performance metrics—number of X-rays, nail hole roundness, drill tip position and drill hole accuracy—between experts and novices. Face validity was evaluated with a questionnaire concerning training potential and quality of simulated reality using a 7-point Likert scale. <i>Results:</i> Face validity: mean realism of the training device was rated 6.3 (range 4–7). Training potential and need for distal interlocking training were both rated with a mean of 6.5 (range 5–7), with no significant differences between experts and novices, <i>p</i> ≥ 0.234. All participants (100%) stated that the device is useful for procedural training of distal nail interlocking, 96% wanted to have it at their institution and 98% would recommend it to colleagues. Construct validity: total number of X-rays was significantly higher for novices (20.9 ± 6.4 versus 15.5 ± 5.3, <i>p</i> = 0.003). Success rate (ratio of hit and miss attempts) was significantly higher for experts (novices hit: <i>n</i> = 15; 55.6%; experts hit: <i>n</i> = 19; 83%, <i>p</i> = 0.040). <i>Conclusion:</i> The evaluated training device for distal interlocking of intramedullary nails yielded high scores in terms of training capability and realism. Furthermore, construct validity was proven by reliably discriminating between experts and novices. Participants indicate high further training potential as the device may be easily adapted to other surgical tasks.https://www.mdpi.com/1648-9144/58/6/773educationsimulationdistal interlockingintramedullary nailingtraining |
| spellingShingle | Torsten Pastor Tatjana Pastor Philipp Kastner Firas Souleiman Matthias Knobe Boyko Gueorguiev Markus Windolf Jan Buschbaum Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking Medicina education simulation distal interlocking intramedullary nailing training |
| title | Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking |
| title_full | Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking |
| title_fullStr | Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking |
| title_full_unstemmed | Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking |
| title_short | Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking |
| title_sort | validity of a novel digitally enhanced skills training station for freehand distal interlocking |
| topic | education simulation distal interlocking intramedullary nailing training |
| url | https://www.mdpi.com/1648-9144/58/6/773 |
| work_keys_str_mv | AT torstenpastor validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking AT tatjanapastor validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking AT philippkastner validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking AT firassouleiman validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking AT matthiasknobe validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking AT boykogueorguiev validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking AT markuswindolf validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking AT janbuschbaum validityofanoveldigitallyenhancedskillstrainingstationforfreehanddistalinterlocking |