Overcoming the learning curve: A curriculum-based model for teaching zone II flexor tendon repairs

Plastic and Reconstructive Surgery

Volumn 130, Issue 2, 2012, Pages 381-388

  Bari, Ali Sina ^a,b,c   Woon, Colin Y ^a,b,c   Pridgen, Brian ^a,b,c   Chang, James ^a,b,c  

^a STANFORD UNIVERSITY MEDICAL CENTER   (United States)

^b STANFORD UNIVERSITY   (United States)

^c VA PALO ALTO HEALTH CARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BIOMECHANICS; CLINICAL COMPETENCE; CURRICULUM; EDUCATION; EDUCATIONAL MODEL; EVALUATION; HAND INJURY; HUMAN; IN VITRO STUDY; LEARNING CURVE; MEDICAL EDUCATION; PHYSIOLOGY; PLASTIC SURGERY; SUTURING METHOD; TENDON; TENDON INJURY; WEIGHT BEARING;

BIOMECHANICS; CLINICAL COMPETENCE; CURRICULUM; HAND INJURIES; HUMANS; INTERNSHIP AND RESIDENCY; LEARNING CURVE; MODELS, EDUCATIONAL; SURGERY, PLASTIC; SUTURE TECHNIQUES; TENDON INJURIES; TENDONS; WEIGHT-BEARING;

EID: 84865041059     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/PRS.0b013e3182589d06     Document Type: Article

References (47)

1. Tang JB. Clinical outcomes associated with flexor tendon repair. Hand Clin. 2005;21:199-210.
2. Strickland JW. Development of flexor tendon surgery: Twenty-fiveyears ofprogress.JHand Surg Am. 2000;25:214-235.
3. Kessler I. The "grasping" technique for tendon repair. Hand 1973;5:253-255.
4. Kasashima T, Kato H, Minami A. Factors influencing prog-nosis after direct repair of the flexor pollicis longus tendon: Multivariate regression model analysis. Hand Surg. 2002;7: 171-176.
5. Savage R. Biomechanical analysis of a modification of Tang method of tendon repair.JHand Surg Br. 2004;29:307; author reply 307-308.
6. Savage R Risitano G. Flexor tendon repair using a "six strand" method of repair and early active mobilisation. JHand Surg Br. 1989;14:396-399.
7. Thurman RT, Trumble TE, Hanel DP, Tencer AF, Kiser PK. Two-, four-, and six-strand zone II flexor tendon repairs: An in situ biomechanical comparison using a cadaver model. JHand Surg Am. 1998;23:261-265.
8. Al-Qattan MM, Al-Turaiki TM. Flexor tendon repair in zone 2 using a six-strand 'figure of eight' suture.JHand Surg Eur Vol. 2009;34:322-328.
9. Hoffmann GL, Buchler U, Vögelin E. Clinical results of flexor tendon repair in zone II using a six-strand double-loop technique compared with a two-strand technique. J Hand Surg Eur Vol. 2008;33:418-423.
10. Hotokezaka S, Manske PR. Differences between locking loops and grasping loops: Effects on 2-strand core suture. JHand Surg Am. 1997;22:995-1003.
11. Barrie KA, Wolfe SW, Shean C, Shenbagamurthi D, Slade JF III, Panjabi MM.Abiomechanical comparison ofmultistrand flexor tendon repairs using an in situ testing model.JHand Surg Am. 2000;25:499-506.
12. Tang JB, Zhang Y, Cao Y, Xie RG. Core suture purchase affects strength of tendon repairs.JHand Surg Am. 2005;30: 1262-1266.
13. Cao Y, Zhu B, Xie RG, Tang JB. Influence of core suture purchase length on strength offour-strand tendon repairs. J Hand Surg Am. 2006;31:107-112.
14. Papandrea R Seitz WH Jr, Shapiro P, Borden B. Biome-chanical and clinical evaluation of the epitenon-first tech-nique of flexor tendon repair.JHand Surg Am. 1995;20:261-266.
15. Mashadi ZB, Amis AA. Strength of the suture in the epitenon and within the tendon fibres: Development of stronger pe-ripheral suture technique.JHand Surg Br. 1992;17:172-175.
16. Bridges M, Diamond DL. The financial impact of teaching surgical residents in the operating room. Am J Surg. 1999; 177:28-32.
17. Farnworth LR, Lemay DE, Wooldridge T, et al. A comparison of operative times in arthroscopic ACL reconstruction be-tween orthopaedic faculty and residents: The financial im-pact oforthopaedic surgical trainingin the operating room. Iowa Orthop J. 2001;21:31-35.
18. Ferguson CM, Kellogg KC, Hutter MM, Warshaw AL. Effect of work-hour reforms on operative case volume of surgical residents. Curr Surg. 2005;62:535-538.
19. Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. The impact of the 80-hour residentworkweek on surgical residents and attending surgeons. Ann Surg. 2006;243:864-871; discussion 871-875.
20. Kocher MS. Ghostsurgery: The ethicalandlegalimplications ofwho does the operation.J Bone Joint Surg Am. 2002;84: 148-150.
21. Accreditation Council for Graduate Medical Education. The Accreditation Council for Graduate Medical Education Out-comes Project. 2010. Available at: http://www.acgme.org/ outcome. Accessed July 24, 2011.
22. Sachdeva AK, Pellegrini CA, Johnson KA. Support for sim-ulation-based surgical education through American College of Surgeons-accredited education institutes. World J Surg. 2008;32:196-207.
23. Cherry RA, Ali J. Current concepts in simulation-based trauma education.J Trauma 2008;65:1186-1193.
24. Dawson DL, Lee ES, Hedayati N, Pevec WC. Four-year ex-perience with a regional program providing simulation-based endovascular training for vascular surgery fellows. J Surg Educ. 2009;66:330-335.
25. Fried GM. Lessons from the surgical experience with simu-lators: Incorporation into training and utilization in deter-miningcompetency. Gastrointest Endosc Clin N Am. 2006;16: 425-434.
26. Schuind F, Garcia-Elias M, Cooney WP III, An KN. Flexor tendon forces: Invivo measurements.J Hand Surg Am. 1992; 17:291-298.
27. Barrie KA, Tomak SL, Cholewicki J, Merrell GA, Wolfe SW. Effect of suture locking and suture caliber on fatigue strength of flexor tendon repairs.JHand Surg Am. 2001;26: 340-346.
28. Taras JS, Raphael JS, Marczyk SC, Bauerle WB. Evaluation of suture caliberinflexor tendon repair.JHand Surg Am. 2001; 26:1100-1104.
29. Shaw PC A method of flexor tendon suture.JBone Joint Surg Br. 1968;50:578-587.
30. Tsuge K, Yoshikazu I, Matsuishi Y. Repair of flexor tendons by intratendinous tendon suture.JHand Surg Am. 1977;2: 436-440.
31. Brunelli G, Vigasio A, Brunelli F. Slip-knot flexor tendon suture in zone II allowing immediate mobilisation. Hand 1983;15:352-358.
32. Lister GD, Kleinert HE, Kutz JE, Atasoy E. Primary flexor tendon repair followed by immediate controlled mobiliza-tion.JHand Surg Am. 1977;2:441-451.
33. Aoki M, Manske PR Pruitt DL, Kubota H, Larson BJ. Work of flexion after flexor tendon repair according to the place-ment ofsutures. Clin Orthop Relat Res. 1995;320:205-210.
34. Aoki M, Pruitt DL, Kubota H, Manske PR. Effect of suture knots on tensile strength ofrepaired canine flexor tendons. JHand Surg Br. 1995;20:72-75.
35. Kleinert HE, Schepel S, Gill T. Flexor tendon injuries. Surg Clin North Am. 1981;61:267-286.
36. Strickland JW. Flexor tendon injuries: II. Operative tech-nique.J Am Acad Orthop Surg. 1995;3:55-62.
37. Pring DJ, Amis AA, Coombs RR. The mechanical properties of human flexor tendons in relation to artificial tendons. JHand Surg Br. 1985;10:331-336.
38. Luker KR, Sullivan ME, Peyre SE, Sherman R, Grunwald T. The use of a cognitive task analysis-based multimedia pro-gram to teach surgical decision making in flexor tendon repair. Am J Surg. 2008;195:11-15.
39. Tare M. Dental rolls: A suitable model for practising tendon repair techniques.J Hand Surg Br. 2004;29:506-507.
40. Bremner NA, Ellabban M. A re-usable model for teaching andpractisingtendon repairtechniques.JHand Surg Eur Vol. 2007;32:726.
41. Smith AM, Forder JA, Annapureddy SR Reddy KS, Amis AA. The porcine forelimb as a model for human flexor tendon surgery.JHand Surg Br. 2005;30:307-309.
42. Wright TC, Widdowson D, Khan M, Tiernan E, Hormbrey E. A cost-effective training tool for flexor tendon repair: Pig's trotters.J Plast Reconstr Aesthet Surg. 2006;59:107-108.
43. Ingraham JM, Weber RA III, Weber RA. Utilizing a simulated tendon to teach tendon repair technique. Hand (N Y.) 2009; 4:150-155.
44. Rhodes ND, Wilson PA, Southern SJ. The flexor-tendon re-pair simulator. Br J Plast Surg. 2001;54:373-374.
45. Berschback JC, Amadio PC, Zhao C, Zobitz ME, An KN. Providing quantitative feedback when teaching tendon re-pair: A new tool.JHand Surg Br. 2005;30:626-632.
46. Van Nortwick SS, Lendvay TS, Jensen AR, Wright AS, Hor-vath KD, Kim S. Methodologies for establishing validity in surgical simulation studies. Surgery 2010;147:622-630.
47. Jaffer A, Bednarz B, Challacombe B, Sriprasad S. The assess-ment ofsurgical competency in the UK. Int J Surg. 2009;7: 12-15.