Murad PEPE, Emre ÇALIŞAL, Ahmet ÖZMERİÇ, Özgür ŞAHİN, Cem Nuri AKTEKİN

Artroskopik Becerileri Artırmada Bilgisayar Yardımlı Simülasyon Eğitimi

Amaç: Ortopedi asistanlarının sanal gerçeklik bilgisayar simülasyonu ile artroskopik becerilerini değerlendirmek ve bunun eğitim yılı ve ameliyat sayıları ile ilişkisini araştırmak. Gereç ve Yöntem: Farklı yıl ve tecrübede 12 ortopedi asistanının artroskopi performansları sanal gerçeklik bilgisayar simülasyonu ile 4 farklı modülde değerlendirildi. Birer hafta ara ile performanslar tekrarlandı. Modüllerde süre ve kat edilen mesafe kaydedildi. Eşleştirilmiş verilerin analizinde Wilcoxon testi, ilişkinin değerlendirilmesinde Pearson korelasyon analizi kullanıldı. Anlamlılık değeri p <0,05 olarak kabul edildi.Bulgular: Katılımcıların modüllerdeki ortalama süre ve mesafe verileri ikinci performanslarında ilk performanslarına kıyasla anlamlı oranda düştü. Asistanlık süresi ve artroskopi sayıları ile modül süre ve mesafe verileri arasında negatif yönde ilişki vardı. Bunların arasında modül 3 ile asistanlık süresi ve modül 2 de kat edilen yol ile artroskopi sayıları arasındaki negatif yöndeki ilişki istatistiksel olarak anlamlıydı. Sonuç: Sanal gerçeklik bilgisayar simülasyonları ortopedi asistanlarının artroskopi eğitimde etkili ve güvenilir bir yöntemdir. Ortopedi pratiğinde alternatif eğitim yöntemi olarak kullanılmasının faydalı olacağı düşüncesindeyiz.

Anahtar Kelimeler:

Bilgisayar simülasyonları, Artroskopi, Cerrahi eğitim, psikomotor performans

Computer Simulation Training Improves Arthroscopy Skills

Objective: The purpose of this study was to evaluate the arthroscopic skills of orthopedic residents with virtual reality computer simulation and to investigate the correlation with operation numbers and experiences.Material and Method: Arthroscopy performances of 12 orthopedic residents with different years and experiences were evaluated in 4 different modules with virtual reality computer simulation. Performances were repeated with a one-week interval. The time and the distance were recorded in the modules. Wilcoxon test was used in the analysis of the paired data, Pearson correlation analysis was used in the evaluation of the relationship. Significance value was accepted as p <0.05.Results: The mean time and distance decreased significantly in the second performance compared to the initial performance for the participants. There was a negative correlation between the duration of the residentship and the number of arthroscopy with the module time and distance data. Among them, the negative correlation between the duration of residentship with module 3 time and the number of arthroscopy with the module 2 distance were statistically significant. Conclusion: Virtual reality computer simulations are an effective and reliable method for the arthroscopy training in orthopedic residents. We recommend that it would be an alternative training method in orthopedic practice.

Keywords:

Computer simulations, Arthroscopy, Surgical training, Psychomotor performance,

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