Engin ÇETİNKAYA, Hakan ÇİFT, Ahmet AYBAR, Ersin ERÇİN, Gamze GÜLER BABÜR, OĞUZ ŞÜKRÜ POYANLI

The timing and importance of motor skills course in knee arthroscopy training

Objectives: The aim of this prospective study is to evaluate the impact of the simulation training programin learning duration of arthroscopic motor skills. Furthermore, we investigated the difference betweenjunior and experienced residents in the improvement of arthroscopic motor skills duration.Methods: We established 2 study groups according to participants' year of experience in orthopedicresidency with junior group residents with three years or less than three years experience as group 1 andexperienced group with over 3 years of experience as group 2. We calculated duration change of motorskill test results for each participant before and after the course. The tools used were; auto scoring mirrortracer(ASMT), 0'Conner the tweezer dexterity test(OCTDT), etch-a-sketch with overlay(ESOT), purdue thepegboard test(PPT), two-arm coordination test(TACT) and grooved pegboard test(GPT) which were allproduced by LafayetteŞrm. These instruments were used to practice and measure the basic motor skills.Results: All postecourse test durations for participants decreased signiŞcantly when compared to precourse. We calculated percentage change of motor skill test results for each participant before and after the course. All motor skill test percentage changes were similar between two groups. In comparisonof participants according to their experiences, results revealed that there was no difference in test resultsof experienced and junior surgeons. Both groups had provided equal improvement in terms of motorskills.Conlusion: As our results revealed, residents will be able to act with a strong motivation to learn applications through basic arthroscopic information gained in early period of orthopedic training and willmake more successful applications of real patients.© 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. Thisis an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-ncnd/4.0/).

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1. Hede A, Jensen DB, Blyme P, Sonne-Holm S. Epidemiology of meniscal lesions of the knee: 1215 open operations in Copenhagen 1882e1984. Acta Orthop Scand. 1990;61:435e437.

2. Nielsen AB, Yde J. Epidemiology of acute knee injuries:a prospective hospital investigation. J Trauma. 1991;31:1644e1648.

3. Rayan F, Nanjayan SK, Quah C, Ramoutar D, Konan S, Haddad FS. Review of evolution of tunnel position in anterior cruciate ligament reconstruction. World J Orthop. 2015;6:252e262.

4. Unalan PC, Akan K, Orhun H, et al. A basic arthroscopy course based on motor skill training. Knee Surg Sports Traumatol Arthrosc. 2010;18:1395e1399.

5. Dion YM, Gaillard F. Visual integration of data and basic motor skills under laparoscopy. Influence of 2eeD and 3eeD videoeecamera systems. Surge Endosc. 1997;11:995e1000.

6. Newmark J, Dandolu V, Milner R, Grewal H, Harbison S, Hernandez E. Correlating virtual reality and box trainer tasks in the assessment of laparoscopic surgical skills. Am J Obstet Gynecol. 2007;197:546e1e546e4.

7. Karahan M, Unalan PC, Bozkurt S, et al. Correlation of basic motor skills with arthroscopic experience. Acta Orthop Traumatol Turc. 2009;43:49e53.

8. Stirling ER, Lewis TL, Ferran NA. Surgical skills simulation in trauma and orthopaedic training. J Orthop Surg Res. 2014;9:121e126.

9. Atesok K, Mabrey JD, Jazrawi LM, Egol KA. Surgical simulation in orthopaedic skills training. J Am Acad Orthop Surg. 2012;20:410e422.

10. Sonnadara RR, Van Vliet A, Safir O, et al. Orthopedic boot camp: examining the effectiveness of an intensive surgical skills course. Surgery. 2011;149: 745e749.

11. Leong JJ, Leff DR, Das A, et al. Validation of orthopaedic bench models for trauma surgery. J Bone Joint Surg Br. 2008;90:958e965.

12. Rosser Jr JC, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R. The impact of video games on training surgeons in the 21st century. Arch Surg. 2007;142: 181e186.

13. Grantcharov TP. Is virtual reality simulation an effective training method in surgery? Nat Clin Pract Gastroenterol Hepatol. 2008;5:232e233.

14. Braman JP, Sweet RM, Hananel DM, Ludewig PM, Van Heest AE. Development and validation of a basic arthroscopy skills simulator. Arthroscopy. 2015;31: 104e112.

15. Chami G, Ward JW, Phillips R, Sherman KP. Haptic feedback can provide an objective assessment of arthroscopic skills. Clin Orthop Relat Res. 2008;466: 963e968.