1 / 13

Overcoming the Learning Curve: A Novel Approach to Teaching Zone II Flexor Tendon Repairs

Overcoming the Learning Curve: A Novel Approach to Teaching Zone II Flexor Tendon Repairs. A. Sina Bari, M.D.; Colin YL Woon , M.D.; Brian C Pridgen , B.S.; James Chang, M.D. Stanford Division of Plastic & Reconstructive Surgery Nothing to Disclose. Introduction.

freja
Download Presentation

Overcoming the Learning Curve: A Novel Approach to Teaching Zone II Flexor Tendon Repairs

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Overcoming the Learning Curve: A Novel Approach to Teaching Zone II Flexor Tendon Repairs A. Sina Bari, M.D.; Colin YL Woon, M.D.; Brian C Pridgen, B.S.; James Chang, M.D. Stanford Division of Plastic & Reconstructive Surgery Nothing to Disclose

  2. Introduction • Increasing liability, time & cost sensitivities of OR • Models & Simulators have been used successfully in other high risk industries • Zone II Flexor Tendon Repair is a complex, evolved technique

  3. Objectives • Standardize Technique for Zone II Flexor Tendon Repair • Create and Validate a Teaching Model for Zone II Flexor Tendon Repairs

  4. Methods I • PGY 1-6 Plastic SurgeryResidents (n=14) • Randomized, matched L & R segments of HumanCadaveric FDP & FPL Tendons • Pre- & Post-Test Questionnaire • Pre- & Post-Tutorial Zone II Flexor Tendon Repair • Follow up retestingat 6 months

  5. Methods II • Anatomy • Clinical Presentation • Repair • Suture & Needle Type • Repair Technique • Placement of Knots • # of Strands • Locking vs. Grasping • Suture Caliber • Purchase • Epitendinous Suture • Rehabilitation

  6. Methods III

  7. Methods IV

  8. Results

  9. Results

  10. Results

  11. Results

  12. Results

  13. Discussion • Wepresent a new model for teachingflexor tendon repair • Incorporates a practical model & didactic curriculum • Standardizes Zone II Flexor Tendon Repairbased on the best evidence • Is outside the time- and error- sensitive confines of the OR • Our data suggest value to all levels of resident training and persistance over time

More Related