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ISSN 2683-2348 (Electronic)
Federación Latinoamericana de Simulación Clínica y Seguridad del Paciente

2022, Number 2

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Simulación Clínica 2022; 4 (2)

Transverse/oblique shaft fractures: a method to simulate real fractures for surgical education

Contreras JJ, Liendo R, De MR, Calvo C, Soza F

Language: Spanish
References: 8
Page: 72-75
PDF size: 278.73 Kb.


ABSTRACT

Introduction: simulation is a key tool in the development of surgical skills. However, in the specific area of fractures, the simulation still has limited fidelity. Material and methods: fractures were simulated with a three-point support system. 16 transverse/oblique diaphyseal fractures were simulated in artificial femur models (Sawbone®) and four subgroups were performed: three points far from the fracture, three points near the fracture, oblique position of the artificial femur, three points in the subtrochanteric region. A survey was conducted on 10 traumatologists with more than 10 years of experience. Results: the three points far from and close to the fracture, generated transverse type fractures. The oblique position subgroup generated a transverse fracture, two short obliques and one long oblique. The subtrochanteric subgroup generated three transverse fractures and one short oblique fracture. Regarding transverse/short oblique fractures, 82.9% were recommended for direct reduction techniques, 78.8% for intramedullary nail osteosynthesis, and 89.1% for plate osteosynthesis. Conclusions: the simulation of diaphyseal fractures through a standardized method is feasible. Simulated fractures allow to optimize the education of surgical skills and techniques.


REFERENCES

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