https://www.handsurgskills.com/dokuwiki/ 2026-04-05T21:54:49+00:00 https://www.handsurgskills.com/dokuwiki/ https://www.handsurgskills.com/dokuwiki/lib/tpl/dokuwiki/images/favicon.ico text/html 2021-07-20T13:06:24+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:abi-rafeh2019&rev=1626786384&do=diff Nonbiological Microsurgery Simulators in Plastic Surgery Training: A Systematic Review Abstract Background: Simulation has gained notable recognition for its role as an effective training and assessment modality in the present era of competency-based medical education. Despite the well-documented efficacy of both live and cadaveric animal models, several ethical, financial, and accessibility issues persist with their use. Lower fidelity nonbiological simulators have gained recognition for thei… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:agha2015&rev=1585017260&do=diff The role and validity of surgical simulation Abstract In the last three decades, simulation has become a key tool in the training of doctors and the maintenance of patient safety. Simulation offers an immersive, realistic way of learning technical skills. Recent changes to the training schemes in many surgical specialities mean that the hours spent working between senior house officer and consultant have been reduced. This, combined with other pressures (such as reduced operating hours), means… text/html 2020-07-31T07:35:23+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:almeland2019&rev=1596180923&do=diff The effect of microsurgical training on novice medical students’ basic surgical skills—A randomized controlled trial Abstract Background It has been demonstrated that medical students are capable of learning microsurgical techniques. We hypothesize that microsurgical training might give insight into the importance of delicate tissue handling and correct knot tying that could have a positive influence on macrosurgical skills. The primary aim of this study was to evaluate the effect of microsur… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:amin2013&rev=1585017260&do=diff Microsurgical i-Trainer: a low cost method to replicate a microscope Source: Amin, K., Teoh, V., & Jemec, B. (2013). Microsurgical i-Trainer: a low cost method to replicate a microscope. Annals of the Royal College of Surgeons of England, 95(1), 79. text/html 2020-07-19T12:52:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:anton2019&rev=1595163140&do=diff Attentional selectivity, automaticity, and self-efficacy predict simulator-acquired skill transfer to the clinical environment. Abstract Introduction: Several studies demonstrated that simulator-acquired skill transfer to the operating room is incomplete. Our objective was to identify trainee characteristics that predict the transfer of simulatoracquired skill to the operating room. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:atesok2016&rev=1585017260&do=diff Retention of skills after simulation-based training in orthopaedic surgery Abstract Simulation-based surgical skills training has become essential in orthopaedic practice because of concerns about patient safety and an increase in technically challenging procedures. Surgical skills training in specifically designed simulation laboratories allows practice of procedures in a risk-free environment before they are performed in the operating room. The transferability of acquired skills to performan… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:bakhach2018&rev=1585017260&do=diff Title Omega “Ω” Pulley Plasty for Surgical Management of DeQuervain’s Disease Abstract Background: DeQuervain tenosynovitis, refractory to medical conservative treatment, has been traditionally treated by a simple division of the pulley, a procedure associated with several complications. Many authors attempted to prevent these complications by describing techniques of pulley reconstruction after its release necessitating suturing the different flaps and subsequently promoting extensor tendon… text/html 2020-10-03T02:43:34+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:bedi2019&rev=1601693014&do=diff Lazy Glass Microsurgical Trainer: A Frugal Solution for Microsurgical Training Abstract Background: The art of surgery is becoming increasingly complex and dependent on scopes, screens, and technology, inviting a complex learning curve and development of hand-eye coordination and dexterity among other skills. We introduce an affordable, do-it-yourself microsurgical simulator that can be set up using a smartphone and a pair of reflective prism glasses. The glasses employ periscopic prisms on ei… text/html 2020-08-06T13:01:18+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:bloem2014&rev=1596718878&do=diff Revolutionising management of chronic disease: The ParkinsonNet approach. Abstract Analysis Revolutionising management of chronic disease: the ParkinsonNet approach BMJ 2014; 348 doi: <https://doi.org/10.1136/bmj.g1838> (Published 19 March 2014) Cite this as: BMJ 2014;348:g1838 Article Related content Metrics Responses Peer review Bastiaan R Bloem, professor of movement disorder neurology12, Marten Munneke, director ParkinsonNet23 Author affiliations Correspondence to: B R Bloem bas.bloem@rad… text/html 2020-03-24T06:49:32+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:bond2019&rev=1585032572&do=diff Title The Accommodation of Bone Anchors Within the Distal Phalanx for Repair of Flexor Digitorum Profundus Avulsions Abstract Purpose Avulsion injury of the flexor digitorum profundus (FDP) tendon has been traditionally repaired with a pull-out suture over the nail plate. Complication rates with this method and improvements in anchor design have led to the increased use of bone anchors to give a rigid all-inside repair. However, the dimensions of the distal phalanx may limit their use. The pr… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:burman2014&rev=1585017260&do=diff Career-long learning: Relationship between cognitive and metacognitive skills Abstract Objectives: Physicians need metacognitive skills including reflection and goal generation for effective lifelong learning (LLL). These skills are not readily assessed and may not correlate with cognitive skills. We examined early-career physicians' metacognition and relationships between metacognitive skills, cognitive skills, and orientation toward LLL. text/html 2020-10-03T02:43:00+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:cenzato2019&rev=1601692980&do=diff Using a Smartphone as an Exoscope Where an Operating Microscope is not Available Abstract Objective Neurosurgical operating rooms are equipped with microscopes in order to provide a good standard of care. Nevertheless, in developing countries, microscopes are not always available. During a short period in a western Africa hospital, we adapted our smartphones as a valid alternative to the microscope. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:challis2000&rev=1585017260&do=diff AMEE Medical Education Guide No. 19: Personal learning plans Abstract Personal learning plans are being introduced and developed across the breadth of medical education from the early years of undergraduate training through to continuing professional development for experienced clinicians.This Guide shows how and where they can be used, charting their history across higher education in the UK, indicating how they link with other professional development initiatives such as appraisal and revali… text/html 2020-08-11T09:00:51+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:chevrier1956&rev=1597136451&do=diff Psycho-social and rehabilitative aspects of upper extremity amputees Abstract Commentary * 52 patients, 38 responded * 60% trauma - others agenesis, vascular, tumor * prosthesis fitted in about 1/3: the others: no benefit, low IQ, limb not functional text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:darzi2001&rev=1585017260&do=diff Assessment of surgical competence Source: Darzi A, Mackay S. Assessment of surgical competence. Qual Saf Heal Care. 2001;10(Supplement 2):ii64-ii69. The objective assessment of technical skill is “the weakest aspect of assessment in surgical training text/html 2020-07-31T08:30:25+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:diesen2011&rev=1596184225&do=diff Effectiveness of Laparoscopic Computer Simulator Versus Usage of Box Trainer for Endoscopic Surgery Training of Novices Abstract OBJECTIVE: Teaching of laparoscopic skills is a challenge in surgical training programs. Because of the highly technical nature and the steep learning curve, students and residents must learn laparoscopic skills before performing them in the operating room. To improve efficiency of learning and patient safety, research in simulation is essential. Two types of simul… text/html 2020-08-16T01:49:09+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:ehanire2018&rev=1597542549&do=diff Safety of Microsurgery Under Loupes Versus Microscope: A Head-to-Head Comparison of 2 Surgeons With Similar Experiences Abstract Background Microsurgery is performed using either the operating microscope or loupe magnification. Use of the operating microscope is considered the “criterion standard”; however, loupes are emerging as a safe and reliable technique to perform microsurgery. The purpose of this study was to analyze the safety of microsurgery under loupe magnification compared with th… text/html 2020-08-09T10:01:57+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:foldhazy2007&rev=1596967317&do=diff Long-Term Outcome of Nonsurgically Treated Distal Radius Fractures Abstract To study the long-term outcome after nonsurgically treated distal radius fractures including recovery of grip strength, mobility, and radiographic parameters. Eighty-seven patients, mean age 55 (range 19-78) years, treated with closed reduction and casts, were evaluated radiographically and clinically during the first 6 months and finally after 9-13 years. Fifty patients had extra-articular fractures (AO Class A), 4 ha… text/html 2020-08-09T10:00:17+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:foldhazy20007&rev=1596967217&do=diff Long-Term Outcome of Nonsurgically Treated Distal Radius Fractures Abstract To study the long-term outcome after nonsurgically treated distal radius fractures including recovery of grip strength, mobility, and radiographic parameters. Eighty-seven patients, mean age 55 (range 19-78) years, treated with closed reduction and casts, were evaluated radiographically and clinically during the first 6 months and finally after 9-13 years. Fifty patients had extra-articular fractures (AO Class A), 4 ha… text/html 2021-05-22T04:48:58+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:gan1995&rev=1621658938&do=diff Title The Effects of Ultrasound Treatment on Flexor Tendon Healing in the Chicken Limb Abstract We report the effects of early and late ultrasound treatment protocols on healing of surgically lacerated zone 2 flexor tendons in a chicken model. Ultrasound was administered directly using a coupling gel. Treatment was shown to increase range of movement, to advance scar maturation and to decrease the amount of inflammatory infiltrate around the repair site. No adverse effects on tensile strength… text/html 2020-05-15T05:43:01+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:ghanem2016&rev=1589521381&do=diff Anastomosis Lapse Index (ALI): A Validated End Product Assessment Tool for Simulation Microsurgery Training Abstract Background Over the last decade, simulation has become a principal training method in microsurgery. With an increasing move toward the use of nonliving models, there is a need to develop methods for assessment of microvascular anastomosis skill acquisition substituting traditional patency rate. The authors present and validate a novel method of microvascular anastomosis assessm… text/html 2020-08-08T03:59:38+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:giladi2016&rev=1596859178&do=diff Measuring Functional and Patient-Reported Outcomes After Treatment of Mutilating Hand Injuries Abstract Understanding the global burden of trauma, particularly upper extremity trauma, is necessary in addressing the need for surgical services. Critical to that mission is to understand, and accurately measure, disability and related disability-adjusted life-years from massive upper extremity trauma. The impact of these injuries is magnified when considering that they frequently occur to young pe… text/html 2020-08-08T03:03:49+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:graham2016&rev=1596855829&do=diff Secondary Thumb Reconstruction in a Mutilated Hand Abstract Commentary * thumb needs: length, sensation, stability, and the ability to meet the other digits, ideally in a tripod pinch. (losss: Length, opposition, sensation, stability, strategic position) text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:haines1985&rev=1585017260&do=diff A digit replantation model Source Haines, P., Nichter, L. S., Morgan, R. F., Horowitz, J. H., & Edgerton, M. T. (1985). A digit replantation model. Microsurgery, 6(2), 70–72. <https://doi.org/10.1002/micr.1920060203> Anatomy Abstract A simple, inexpensive, reproducible, and reliable model for digital replantation is described utilizing the rabbit ear. When compared to the human digit, it provides benefits over previous models. It is of similar tissue type and characteristics. The vessels … text/html 2021-08-28T13:11:26+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:harris2014_systematic_review_writing&rev=1630156286&do=diff How to Write a Systematic Review Abstract Background: The role of evidence-based medicine in sports medicine and orthopaedic surgery is rapidly growing. Systematic reviews and meta-analyses are also proliferating in the medical literature. Purpose text/html 2021-05-15T08:50:33+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:henry2008&rev=1621068633&do=diff The effect of magnetic fields on wound healing: Experimental study and review of the literature Abstract OBJECTIVE: Magnets are purported to aid wound healing despite a paucity of scientific evidence. The purpose of this study was to evaluate the effect of static magnetic fields on cutaneous wound healing in an animal model. The literature was reviewed to explore the historical and scientific basis of magnet therapy and to define its current role in the evidence-based practice of plastic surge… text/html 2021-03-18T07:26:53+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:hobart2009&rev=1616052413&do=diff Improving the evaluation of therapeutic interventions in multiple sclerosis: The role of new psychometric methods. Chapter 1 New psychometric methods Rasch measurement vs Item response theory Traditional psychometric methods * psychometric -- originally psychology but now broadened text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:hsieh2017&rev=1585017260&do=diff Novel and Efficient Synthetic Microvascular Anastomosis Training Model Abstract Microsurgery is an essential surgical skill of modern Plastic and Reconstructive Surgery, and it has now well integrated into the practice of many other surgical specialties. With the growing demand of this surgical skill, having a cost-effective training model that is globally accessible is indispensable. This model was made from widely available non-sterile latex gloves with tools and materials that are readily a… text/html 2021-05-18T13:48:16+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:jiang2019&rev=1621345696&do=diff A Review of Low-Intensity Pulsed Ultrasound for Therapeutic Applications Abstract Ultrasound therapy has a long history of novel applications in medicine. Compared to high-intensity ultrasound used for tissue heating, low-intensity ultrasound has drawn increasing attention recently due to its ability to induce therapeutic changes without biologically significant temperature increase. Low-intensity pulsed ultrasound (LIPUS) is a specific type of ultrasound that delivers at a low intensity and out… text/html 2020-08-10T04:17:51+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:kim2019&rev=1597033071&do=diff The end game – A quantitative assessment tool for anastomosis in simulated microsurgery Abstract With the move towards simulation based microsurgical training and emphasis on the declining usage of animal models, there is a need for an objective method to evaluate microvascular anastomosis in a non-living, simulated microsurgical training environment. Our aim was to create a validated assessment tool to evaluate the intimal surface of the end product to measure skills acquisition. text/html 2020-03-25T00:04:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:leafblad2019&rev=1585094660&do=diff Title Outcomes and Direct Costs of Needle Aponeurotomy, Collagenase Injection, and Fasciectomy in the Treatment of Dupuytren Contracture Abstract Purpose The aims of our study were to evaluate the rates and predictors of reinterventions and direct costs of 3 common treatments of Dupuytren contractures—needle aponeurotomy, collagenase injection, and surgical fasciectomy. text/html 2021-05-10T02:37:11+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:lee2015&rev=1620614231&do=diff Carpal Ligament Injuries, Pathomechanics, and Classification Abstract Carpal instability is a complex array of maladaptive and posttraumatic conditions that lead to the inability of the wrist to maintain anatomic relationships under normal loads. Many different classification schemes have evolved to explain the mechanistic evolution and pathophysiology of carpal instability, including 2 of the most common malalignment patterns: volar intercalated segment instability and the more common dorsal … text/html 2020-04-20T01:40:48+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:maan2012&rev=1587346848&do=diff Title Systematic review of predictors of surgical performance Abstract BACKGROUND Selection criteria for surgical training are not scientifically proven. There is a need to define which attributes predict future surgical performance. The aim of this study was to examine the predictive value of specific attributes that impact on surgical performance. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:mahmoudi2017&rev=1585017260&do=diff Effect of Hospital Volume on Success of Thumb Replantation Abstract Hospital volume–outcome association has been examined for many high-risk surgical procedures. Little is known about this association for thumb replantation, a complex but essential surgical procedure to restore hand function. We aimed to determine patient and hospital characteristics that are associated with increased probability of replanted thumb survival and to examine volume–outcome association among hospitals that perform… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:marre2011&rev=1585017260&do=diff Intraluminal Latex Tubing for Microsurgical Training Source: Marre D, Hontanilla B. Intraluminal Latex Tubing for Microsurgical Training. J Reconstr Microsurg. 2011;27(07):449-450. Describes inserting a rolled up piece of latex into the femoral artery of the chicken thigh. This prevents the vessel wall from collapsing and facilitates vessel anastomosis. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:marsh2007&rev=1585017260&do=diff Marsh, D. J., Norton, S. E., Mok, J., Patel, H. D., & Chen, H.-C. (2007). Microsurgical training: the chicken thigh model. Annals of Plastic Surgery, 59(3), 355–356. <https://doi.org/10.1097/SAP.0b013e3180ca8739> text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:masud2017&rev=1585017260&do=diff Microsurgery simulation training system and set up: An essential system to complement every training programme Source: Masud, D., Haram, N., Moustaki, M., Chow, W., Saour, S., & Mohanna, P. N. (2017). Microsurgery simulation training system and set up: An essential system to complement every training programme. Journal of Plastic, Reconstructive & Aesthetic Surgery, 70, 893–900. text/html 2020-11-27T08:12:50+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:mitchell2011&rev=1606464770&do=diff Evaluation of distributed practice schedules on retention of a newly acquired surgical skill: A randomized trial Abstract BACKGROUND Practice influences new skill acquisition. The aim of this study was to prospectively investigate the impact of practice distribution (weekly vs monthly) on complex motor skill (end-side vascular anastomosis) acquisition and 4-month retention. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:mokhtari2017&rev=1585017260&do=diff Transfer of Learning from Practicing Microvascular Anastomosis on Silastic Tubes to Rat Abdominal Aorta Abstract Objective Learning to perform microvascular anastomosis is difficult. Laboratory practice models using artificial vessels are frequently used for this purpose. However, the efficacy of such practice models has not been objectively assessed for the performance of microvascular anastomosis during live surgical settings. This study was conducted to assess the transfer of learning from… text/html 2020-04-22T00:13:08+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:moore2015&rev=1587514388&do=diff Title Still under the microscope: Can a surgical aptitude test predict otolaryngology resident performance? Abstract Objectives/Hypothesis: Application to otolaryngology-head and neck surgery residency is highly competitive, and the interview process strives to select qualified applicants with a high aptitude for the specialty. Commonly employed criteria for applicant selection have failed to show correlation with proficiency during residency training. We evaluate the correlation between the … text/html 2020-05-13T06:23:03+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:moorthy2003&rev=1589350983&do=diff Title Objective assessment of technical skills in surgery Abstract In the past few years, considerable developments have been made in the objective assessment of technical proficiency of surgeons. Technical skills should be assessed during training, and various methods have been developed for this purpose text/html 2021-07-20T13:05:13+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:neiduski2019&rev=1626786313&do=diff Flexor tendon rehabilitation in the 21st century: A systematic review * a concise history of therapy from Duran/Kleinert to EAM Abstract Introduction: The rehabilitation of patients following flexor tendon injury has progressed from immobilization to true active flexion with the addition of wrist motion over the last 75 years. Purpose of the Study: This review specifically intended to determine whether there is evidence to support one type of exercise regimen, early passive, place and hold, or… text/html 2020-08-07T12:38:56+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:nellans2012&rev=1596803936&do=diff The Epidemiology of Distal Radius Fractures Abstract Distal radius fractures are one of the most common types of fractures. Although the pediatric and elderly populations are at greatest risk for this injury, distal radius fractures still have a significant impact on the health and well-being of young adults. Data from the past 40 years have documented a trend toward an overall increase in the prevalence of this injury in both the pediatric and elderly populations. Understanding the epidemiolo… text/html 2020-07-31T08:45:51+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:onoda2015&rev=1596185151&do=diff Analysis of 10-Year Training Results of Medical Students Using the Microvascular Research Center Training Program Abstract Background In this article, we reviewed the training results of medical students using the Microvascular Research Center Training Program (MRCP), and proposed an ideal microsurgical training program for all individuals by analyzing the training results of medical students who did not have any surgical experience. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:peyre2011&rev=1585017260&do=diff Teaching Uncommon and Highly Complex Operations: Maximizing The Teaching and Learning Abstract Teaching complex and uncommon operative procedures require instruction on technical skill and cognitive decision-making frameworks. To understand this dynamic process, several adult learning theories are discussed including the text/html 2020-08-11T09:04:30+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:pinzur1994&rev=1597136670&do=diff Functional outcome following traumatic upper limb amputation and prosthetic limb fitting Abstract Nineteen consecutive patients underwent traumatic upper limb amputation for nonreconstructible or replantible upper limb injury at a Level I trauma center over a 9-year-period. Eleven amputations were at the transradial level, five were transhumeral, and three were shoulder disarticulation. Eighteen patients underwent prosthetic limb fitting. Fifteen of the 18 initially underwent preparatory prost… text/html 2021-05-01T14:10:31+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:rabinovich2021&rev=1619878231&do=diff The Effect of Casting Simulation on Maintenance of Fracture Alignment Following Closed Reduction of Pediatric Distal Radius Fractures: Does More Simulation Matter? Abstract BACKGROUND: The purpose of this study was to evaluate the effectiveness of a simulation curriculum on performance of closed reduction (CR) and casting of distal radius and distal both-bone forearm fractures by orthopaedic surgery residents. The secondary aim was to identify if repeated simulation training during the clinica… text/html 2020-07-31T07:44:28+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:rajan2019&rev=1596181468&do=diff Objective Assessment of Microsurgery Competency-In Search of a Validated Tool Abstract Microsurgical skill acquisition is an integral component of training in plastic surgery. Current microsurgical training is based on the subjective Halstedian model. An ideal microsurgery assessment tool should be able to deconstruct all the subskills of microsurgery and assess them objectively and reliably. For our study, to analyze the feasibility, reliability, and validity of microsurgery skill assessment,… text/html 2020-08-11T10:01:06+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:rajasabapathy2013&rev=1597140066&do=diff Secondary procedures in replantation Abstract The success of replantation surgery is not judged by survival of the replanted part, but by the functional outcome attained. Hence, primary repair of all injured structures is the preferred aim. At times, constraints induced by the ischemia time and nature of injury preclude primary repair. In such situations, secondary procedures are inevitable. Secondary procedures are also frequently required to improve the function and appearance of the replant… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:rankin1998&rev=1585017260&do=diff Reliability of assessment tools in rehabilitation: An illustration of appropriate statistical analyses “In simple terms the ICC is the ratio of true score variance (between-subjects variance) to true score variance plus error. If the true score variance is sufficiently large, reliability will always appear high and vice versa. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:schaverien2018&rev=1585017260&do=diff Interview Scores Correlate with Fellow Microsurgical Skill and Performance Abstract Background The interview process for surgical trainees aims to select those individuals who will perform best during training and have the greatest potential as future surgeons. The objective of this study was to evaluate the relationship between criteria assessed at interview, technical skills, and performance, for the first time, to optimize the selection process for a Microsurgery fellowship. text/html 2020-03-24T09:01:46+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:scott2019&rev=1585040506&do=diff Title Remote Assessment of Wrist Range of Motion: Inter- and Intra-Observer Agreement of Provider Estimation and Direct Measurement With Photographs and Tracings Abstract PURPOSE Information is limited regarding the validity and reliability of measurements made during remote assessment of wrist range of motion (ROM) motion. We sought to determine intra- and inter-observer agreement among visual estimation, direct goniometric measurement, and patients' self-taken digital photographs and line t… text/html 2020-04-16T07:44:12+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:sears2014&rev=1587023052&do=diff Title Future education and practice initiatives in hand surgery: improving fulfillment of patient needs. Abstract In the current health care environment, there are several areas in the delivery of health care to patients having hand surgery that need improvement to adequately fulfill patient needs, including difficulty in maintaining adequate emergency call coverage for patients having hand surgery, decreasing trends in hand surgeons willing to perform microsurgery and replantation, and defic… text/html 2021-05-10T02:08:46+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:shipper2017&rev=1620612526&do=diff Evaluation of a technical and nontechnical skills curriculum for students entering surgery Abstract BACKGROUND: Prior interventions to address declining interest in surgical careers have focused on creating early exposure and fostering mentorship at the preclinical medical student level. Navigating the surgical environment can be challenging, however, and preclinical students may be more likely to pursue a surgical career if they are given the tools to function optimally. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:smink2017&rev=1585017260&do=diff Realism in Simulation This is a commentary on a paper by Sparks et al. Technical skills are a pre-requisite, but insufficient for “surgical mastery”. Non-technical skills include teamwork, leadership, situational awareness, and decision making. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:stefanidis2007&rev=1585017260&do=diff Redefining simulator proficiency using automaticity theory Source: Stefanidis D, Scerbo MW, Korndorffer JR, Scott DJ. Redefining simulator proficiency using automaticity theory. Am J Surg.2007;193(4):502–6. <https://doi.org/10.1016/j.amjsurg.2006.11.010> What is automaticity? Automaticity is a characteristic of text/html 2020-08-04T22:02:07+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:strange1991&rev=1596578527&do=diff Title Intraarticular fractures of the distal end of the radius in young adults. A 16 (2-26) year follow-up of 42 patients Abstract Forty-two patients, aged 29 (17-42) years when they sustained an intraarticular fracture of the distal end of the radius, were reexamined after 16 (2-26) years. More than two thirds of the fractures were caused by high-energy trauma. Subjectively, 34 patients had excellent or good results, while only 8 had fair or poor results; 6 patients had changed their occupat… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:sucur1981&rev=1585017260&do=diff Sucur, D., Konstantinović, P., & Potparić, Z. (1981). Fresh chicken leg: an experimental model for the microsurgical beginner. British Journal of Plastic Surgery, 34(4), 488–489. <https://doi.org/7296159> text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:szasz2015&rev=1585017260&do=diff Assessing Technical Competence in Surgical Trainees - A Systemic Review 2015 Source: Szasz P, Louridas M, Harris KA, Aggarwal R, Grantcharov TP. Assessing technical competence in surgical trainees: A systematic review. Ann Surg. 2015;261(6):1046-1055. text/html 2020-12-14T09:17:27+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:taffinder1992&rev=1607937447&do=diff Title Effect of sleep deprivation on surgeons’ dexterity on laparoscopy simulator Abstract Sleep deprivation impairs cognitive performance;1 wakefulness for 24 h is equivalent to a blood alcohol level of 0·10%,2 which is above the legal driving limit in the UK. Although surgeons commonly operate after a disturbed night’s sleep, the effect of lack of sleep on surgical dexterity has been difficult to quantify because objective measurements of psychomotor skills are not easy to validate. The psy… text/html 2021-10-15T13:55:33+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:tangjb_2013_flexor_tendon_results&rev=1634306133&do=diff Outcomes and Evaluation of Flexor Tendon Repair Abstract Keywords Flexor tendon, Primary repair, Secondary repair, Outcomes, Assessment criteria, Level of expertise of the surgeons Key Points * Most reports document a good or excellent recovery of the function of the repaired digits of more than about 80% from fine hand units over recent years, but outcomes in general hospital settings can be more disappointing. text/html 2021-06-23T04:48:49+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:teemu2019_correlations&rev=1624423729&do=diff Correlations Among Objectively Measured Impairment, Outcome Classification Systems, and Subjectively Perceived Disability After Flexor Tendon Repair Abstract Purpose Any loss of range of motion of the finger after flexor tendon repair is an impairment of function, but to what extent it causes disability is not properly understood. The aim of this study was to assess the correlation between perceived function (disability) and objectively measured loss of function (impairment), to understand wha… text/html 2021-01-22T07:27:46+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:tsai2011&rev=1611300466&do=diff A population-based study on trend in incidence of distal radial fractures in adults in Taiwan in 2000-2007 Abstract This population-based study was conducted using claims data obtained from the National Health Insurance to investigate the trend in incidence of distal radial fractures in adults in Taiwan from 2000 to 2007. Our results revealed an increasing trend, particularly among women \textgreater50 years of age. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:uson2002&rev=1585017260&do=diff Design of a new suture practice card for microsurgical training Abstract Suturing technique is of paramount importance in microsurgery. Basic training in this technique can be done using the practice card, a purpose-made polyurethane card. A practice card has been designed in the Minimally Invasive Surgery Centre to closely resemble microsurgical requirements in order to practice and learn correct microsuturing maneuvers. This practice card is a key part of microsurgical training. After many y… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:vanloon2014&rev=1585017260&do=diff Experiences with EPAs, potential benefits and pitfalls Abstract Reforms in postgraduate medical education (PGME) exposed a gap between educational theory and clinical practice. Entrustable Professional Activities (EPAs) were introduced to assist clinicians in bridging this gap and to create better consonance between the intended and the enacted curriculum. In this viewpoint paper, we discuss the potential and the pitfalls of using EPAs in PGME. EPAs promise an effective way of teaching abstrac… text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:wais2012&rev=1585017260&do=diff The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill Source: Wais, M., Ooi, E., Leung, R. M., Vescan, A. D., Lee, J., & Witterick, I. J. (2012). The effect of low-fidelity endoscopic sinus surgery simulators on surgical skill. International Forum of Allergy and Rhinology, 2(1), 20–26. text/html 2021-06-05T07:12:58+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:yangqq2021&rev=1622877178&do=diff Sustained-Release Hydrogel-Based Rhynchophylline Delivery System Improved Injured Tendon Repair Abstract Commentary What is Rhy? * Uncaria (A TCM drug)'s active ingredient is Rhynchophylline (Rhy) * Rhy inhibits intra-abdominal adhesion formation. text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:yeung2019&rev=1585017260&do=diff Title Long-Term Results of Surgically Treated Radial Polydactyly – An Outcome Correlation Study Abstract Background: Thumb polydactyly is one of the commonest congenital hand differences. Traditional surgeon-based outcome scores capture outcomes mainly on bodily structure and function. Outcomes on the long-term well-being of the patients in the domains of activity and participation are not fully studied. Methods: Forty-eight thumbs in forty-five Chinese patients with radial polydactyly underw… text/html 2020-08-08T03:22:09+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:yu2003&rev=1596856929&do=diff Secondary procedures following digital replantation and revascularisation Abstract In this retrospective study, 79 digits of 55 patients received 102 secondary procedures following replantation. We divided the procedures into two groups, occurring before or after 2 months following replantation. The procedures in the early group were mainly for soft tissue coverage (92%), and those in that late group were mainly for tendon (67%) to improve function. Factors associated with higher incidence of … text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:zhang1998&rev=1585017260&do=diff Rat tail replantation as a training model for microvascular procedures of digit replantation Abstract In this study we sought to evaluate the potential of rat tail replantation as a tool for very-small-vessel microvascular anastomoses. We used 10 adult Sprague-Dawley rats. The tail was completely amputated 2.0-cm distal to the base of the tail. Then the tail was replanted with anastomoses of two superficial dorsal veins from both sides and one artery. All 10 replanted tails were pink, viable, … text/html 2020-03-24T02:34:20+00:00 Anonymous (anonymous@undisclosed.example.com) https://www.handsurgskills.com/dokuwiki/doku.php?id=jnl:zhou2017&rev=1585017260&do=diff A series of rat segmental forelimb ectopic implantation models Abstract Temporary ectopic implantation has been performed in clinical practice to salvage devascularized amputated tissues for delayed replantation purpose. In this study, we established a series of segmental forelimb ectopic implantation models in rats, including forelimb, forearm, forepaw, digit, and double forelimbs, to mimic the clinical context. Time of amputated limbs harvesting in donors and ectopic implantation process in …