Use of bovine carpal joints as a training model for cruciate ligament repair
Background Currently, there is a lack of cheap and effective training models to allow orthopaedic surgery trainees to learn the basics of anterior cruciate ligament reconstruction. The aim of this paper was to investigate the viability of using various animal joints as models for the training of ant...
Saved in:
Published in | ANZ journal of surgery Vol. 83; no. 12; pp. 933 - 936 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Australia
Blackwell Publishing Ltd
01.12.2013
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Background
Currently, there is a lack of cheap and effective training models to allow orthopaedic surgery trainees to learn the basics of anterior cruciate ligament reconstruction. The aim of this paper was to investigate the viability of using various animal joints as models for the training of anterior cruciate ligament reconstruction.
Method
Equine stifles, bovine stifles and carpal joints, sheep stifles and porcine stifles, were sourced from a local abattoir. Each joint was assessed for the following criteria: suitable tendons for harvesting, ease of arthroscopy access, adequacy of arthroscopy view and suitable joint surfaces. Tendon harvesting, preparation, joint arthroscopy and tendon tunnelling were performed on the most suitable joint.
Results
Equine, bovine, sheep and porcine stifles were found to be unsuitable. The bovine carpal joint was similar to a human wrist joint with two rows of carpal bones and fused metacarpal bones, but with deeper flexion – similar to a human knee joint. The distal joint space was found to provide a greater range of flexion and space than the narrower proximal joint space. The joint capsule provided sufficient integrity during saline irrigation to allow adequate visualization of joint structures. Tendons surrounding the joint were found to be of similar diameter to human hamstring tendons and easily accessible. Tendon tunnelling was successfully performed in a manner similar to human anterior cruciate ligament repair.
Conclusion
The use of bovine carpal joints is a cost‐effective, safe and easily reproducible model for education on basic anterior cruciate ligament repair skills and technique prior to patient contact. |
---|---|
Bibliography: | ArticleID:ANS12308 istex:D1E91869C8989E58EB1A242316E6B939AC4E41A6 ark:/67375/WNG-HT4RH7GT-4 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1445-1433 1445-2197 |
DOI: | 10.1111/ans.12308 |