CRPP is seen as a more effective and safer method for treating displaced SCHF than nonoperative and open reduction methods. The gold standard for the management of operative cases is closed reduction and percutaneous pinning (CRPP), unless severe neurovascular compromise or an open fracture is present. The Gartland classification system is used for characterizing the extension type of SCHF and is dependent on the degree of humeral fragment displacement. SCHF represent 3.3% to 16.6% of all childhood fractures, 32.6% of upper extremity fractures, and 57.5% of elbow fractures across localities. Supracondylar humeral fractures (SCHF) of the elbow are one of the most common orthopedic causes of morbidity in children. International Registered Report Identifier (IRRID): DERR1-10.2196/38282 Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12623000816651 This protocol may assist other researchers conducting similar studies in the field. The study is financially supported through an external grant from the Wishbone Orthopaedic Research Foundation of New Zealand (September 2021) and an internal research grant from the University of Otago (July 2021).Ĭonclusions: This protocol has been approved by the University of Otago Health Ethics committee (reference HD21/087), and the study is due for completion in 2024. Results: As of February 2022, a total of 8 retrospective comparator trainees have been recruited by email. The data collected for both groups will be used to determine whether additional training with an augmented reality training shows improved real-world surgical outcomes compared to traditional surgical training. Data on the performance of the intervention cohorts will be collected in the same way over a comparable period. The comparator cohort’s performance in pediatric SCHF surgery will be retrospectively audited using routinely collected operative outcomes and parameters over a 6-month period. Advanced trainees with no simulator exposure who were in their first year in 2019-2021 will form the comparator cohort, while those in the years 2022-2023 will receive additional regular simulator training as the intervention cohort. Methods: This multicenter, interventional cohort study will involve orthopedic trainees from New Zealand in their first year of advanced training between 20. Objective: This study aims to examine whether training on a simulator in addition to traditional surgical training improves the in-theater performance of trainees. We have developed an augmented reality simulator that allows trainees to practice this procedure in a radiation-free environment at no extra risk to patients. Traditional surgical training methods of “see one, do one, teach one” are reliant on the presence of real-world cases and must be conducted within an operative environment. The treatment of this fracture is likely one of the first procedures involving x-ray–guided wire insertion that trainee orthopedic surgeons will encounter in their career.
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If you would like us to try and deliver them again, we will charge the delivery charges associated with your order again.įor some larger items, delivery surcharges may apply to the following areas: Scotland, Wales, Channel Islands, Isle Of Wight, Cornwall, Ireland, North Of England above Leeds. After the second failed attempt, your goods will be returned to our warehouse. Our courier will try and deliver your parcel(s) twice. Call us on 01323 639335 to discuss your specific delivery requirements. This service is free on some items and chargeable on others. In this instance, the delivery driver may, at their own discretion assist you in carrying the parcels to the delivery address, but they are not contracted nor obliged to do so.ĭo you need delivery upstairs, or delivery at a specific time?įor some larger items which need to be delivered upstairs - including pianos, we offer a timed delivery service using our own van and drivers. 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