THE DEVELOPMENT AND IMPLEMENTATION OF A HIGH-FIDELITY THREE-DIMENSIONAL PRINTED SIMULATOR FOR HIP ARTHROSCOPIC TRAINING: INSIGHTS FROM A CROSS-DISCIPLINARY COLLABORATION
DS 136: Proceedings of the Asia Design and Innovation Conference (ADIC) 2024
Year: 2024
Editor: Yong Se Kim; Yutaka Nomaguchi; Chun-Hsien Chen; Xiangyang Xin; Linna Hu; Meng Wang
Author: Cai, Bohong; Cheng, Xilin; Wang, Zihan; Chen, Cheng
Series: Other endorsed
Institution: Sichuan Fine Arts Institute, The First Affiliated Hospital of Chongqing Medical University
Page(s): 072-081
Abstract
Introduction: Hip arthroscopy is an ideal technique to treat many intra-articular conditions of hip, such as femoroacebuar impingement (FAI) and labral tears. Comparing with the open surgery, it leads to less blood lose and faster postoperative recovery, which makes it favorable for both patients and surgeons. However, hip arthroscopy has its unique challenges, such as reduced tactile feedback, restricted field of vision, limited degrees of freedom of instrument, and the requirement of integrating two-dimensional (2D) information from screens and mental reconstruction into useful three-dimensional (3D) spatial information. These obstacles cause steep learning curve for this surgical procedure. Currently, the essential skills and preferred training method for hip arthroscopy remains unknown. In this study, we aimed to investigate the required surgical skills and suitable simulation method for hip arthroscopy. Based on that, a high-fidelity medical simulator would be developed.
Methods: A nation-wide online survey was carried out, which was focusing on skills that trainee should possess prior to performing hip arthroscopy in operating room. Meanwhile, the usefulness of different types of simulation had been identified. The high-fidelity simulator was developed based on medical imaging and three-dimensional (3D) printing technology. The feasibility of the simulator was evaluated based on a cross-sectional study.
Results: The skills related to cognitive ability the treatment of FAI are the most essential for hip arthroscopic training. Cadaveric specimens are the most favorable simulation method, high-fidelity physical simulators are the preferred alternatives. A 3D printed simulator for hip arthroscopic training has been developed based on the results of the survey study, which is suitable for surgeons practice the specific skills.
Conclusion: Based on the collaboration between designers and medical professionals, the effective simulation tools and training program can be developed. It is beneficial for medical trainees and the quality of healthcare.
Keywords: Cross-disciplinary Design, Survey Study, Feasibility Study, Medical Simulation Design, 3D Printing