Effectiveness of a Low Fidelity Cast Removal Module in Orthopaedic Surgical Simulation

Journal of Surgical Education
John A RuderBrian P Scannell

Abstract

The purpose of this study is to determine if an educational model during a surgical skills laboratory results in a significant reduction in cast saw blade temperatures generated during cast removal. As part of an orthopedic resident surgical skills laboratory an Institutional Review Board-approved study was performed. A total of 17 study subjects applied a short arm cast. Everyone removed 1 short arm cast with temperatures recorded on the saw blade. Following cast removal, an educational session was conducted on proper cast removal and blade cooling techniques. Everyone then removed a second cast. Blade temperatures were recorded. To assess reproducibility, the 5 PGY-1 orthopedic residents removed a short arm cast 3 months later. Carolinas Medical Center, Charlotte, NC, tertiary care center PARTICIPANTS: A total of 17 study subjects with minimal casting experience (5 PGY-1 orthopedic residents and 12 senior medical students) applied a short arm cast. Following the educational session there was a significant reduction in mean and mean maximum blade temperatures (p < 0.05). During the second round of cast removal assessment of blade temperatures and specific techniques to cool the blade were observed among all participants. At 3 ...Continue Reading

Citations

Jan 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Jill E Larson, Richard W Nicolay
Oct 12, 2021·Journal of Pediatric Orthopedics·Jeffrey LilesDouglas Evans

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