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Zhang L, Jin Z. Antibacterial activities of titanium dioxide (TiO 2) nanotube with planar titanium silver (TiAg) to prevent orthopedic implant infection. J Orthop Surg Res 2024; 19:144. [PMID: 38365803 PMCID: PMC10870603 DOI: 10.1186/s13018-024-04596-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 01/28/2024] [Indexed: 02/18/2024] Open
Abstract
BACKGROUND Orthopedic implant infection has become a common catastrophic complication after various orthopedic implants, which can lead to prolonged use of antibiotics and even surgical failure. The quality of care (QoC) of orthopedic implant infection is very important. METHODS Titanium dioxide (TiO2) nanotube array with planar TiAg was prepared, and their antibacterial rates were tested. 400 patients hospitalized in the Department of Orthopedics of Wuhan Fourth Hospital from May 2019 to May 2020 were selected as controls (before QoC evaluation system of orthopedics), and 400 patients hospitalized from June 2020 to June 2021 were selected as observation group (after QoC evaluation system of orthopedics). RESULTS Regardless of Staphylococcus aureus or Escherichia coli, the antibacterial rate of TiO2 nanotube array with planar TiAg was clearly higher than that of pure iron film on the 10th and 20th days (P < 0.05). The accuracy of hospitalization assessment, disease assessment, adverse event intervention, nursing record filing and nursing satisfaction in observation group were higher as against controls (P < 0.05). CONCLUSION The TiO2 nanotube array with planar TiAg has good antibacterial property, which can effectively prevent orthopedic implant infection. The construction of QoC evaluation system for orthopedic specialists can effectively improve the QoC of orthopedic specialists.
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Affiliation(s)
- Lihong Zhang
- Department of Surgery, Wuhan Fourth Hospital, Wuhan, 430030, Hubei Province, China
| | - Zhihui Jin
- Department of Orthopaedics, Renmin Hospital of Wuhan University, Wuhan, 430060, Hubei Province, China.
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Choudhury AK, Bansal S, Raja BS, Paul S, Chaubey S, Kalia RB. Reliability and Usefulness of YouTube as a Source of Informative Media for Arthroscopic Tennis Elbow Surgery: A Systematic Review of the Published Videos. JOURNAL OF THE WEST AFRICAN COLLEGE OF SURGEONS 2024; 14:26-34. [PMID: 38486639 PMCID: PMC10936886 DOI: 10.4103/jwas.jwas_18_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 07/17/2023] [Indexed: 03/17/2024]
Abstract
Aims and Objectives Over the last decade, YouTube has been extensively used as a learning tool for both physicians and patients, but the reliability of this information remains questionable. The purpose of this study was to look for the reliability and quality of videos on tennis elbow arthroscopy on YouTube. Materials and Methods We used three search terms on YouTube "tennis elbow arthroscopic surgery," "Arthroscopic ECRB release," and "Arthroscopic debridement for tennis elbow," and screened the first 50 videos according to popularity. The videos were included from 2009 to date. Only videos in the English language were included. Repeated videos and videos without sound were excluded. A total of 74 videos were selected for this study and reliability was checked with DISCERN and journal of the American medical association (JAMA) scores. The quality was assessed with the Global Quality Score Criteria (GQSC) score and TEARS (a novel score). Popularity was tested with the video power index (VPI). A pilot study was conducted using 20 videos to validate the TEARS score. Results In the pilot study, TEARS showed results in accordance with other scores used. The average number of views was 41,644.97, and the average duration was 5.03 ± 3.39 years. The mean value of DISCERN and JAMA was found to be 21.47 ± 6.28 and 1.05 ± 0.92, respectively. GQSC, TEARS, and VPI were found to be 1.70 ± 0.82, 4.17 ± 2.62, and 769,936.9 ± 6,538,851.37. Conclusion Most of the videos were educational and physicians were targeted. The USA was the major contributor to such videos. The reliability and quality of these videos were found to be of poor quality. The video popularity was however found to be relatively high. The inter-observer reliability was good. Based on the findings, we conclude that the videos are not reliable and could not be used for learning.
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Affiliation(s)
- Arghya Kundu Choudhury
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - Shivam Bansal
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - Balgovind S Raja
- Department of Orthopaedics, All India Institute of Medical Sciences, Patna, India
| | - Souvik Paul
- Department of Orthopaedics, AMRI Mukundapur, West Bengal, India
| | - Sachin Chaubey
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - Roop Bhushan Kalia
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
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Zeybek H, Cici H, Kilic AI. Video-based digital platforms as an educational resource for the surgical preparation of orthopedic surgeons. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:e20230205. [PMID: 37466603 DOI: 10.1590/1806-9282.20230205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 04/28/2023] [Indexed: 07/20/2023]
Abstract
OBJECTIVE The aim of the study was to research the video-based digital platforms that orthopedic specialists in Turkey use as an educational resource in their surgical preparations that they have not seen or done before, the frequency of their use of these platforms, and their trust in these platforms, with a survey study. METHODS The importance of video-based digital platforms in surgical preparations that surgeons have not seen or done before was measured using the data obtained from 181 orthopedic specialists using a survey prepared on an Internet-based server (docs.google.com). RESULTS Orthopedists used video-based digital platforms with a ratio of 38.7% among the educational resources in their surgical preparations that they have not seen or done before. There was no significant difference between the specialists with a surgical experience of 1-10 years and more than 10 years of experience in terms of using video-based digital platforms in surgical preparation (p>0.05). A total of 81.2% of the participants used only video-based digital platforms in the preparation of a surgical procedure they have never seen before. The most frequently used digital platform was YouTube, and 62% of the participants considered these platforms reliable. CONCLUSION Orthopedic specialists in Turkey primarily and frequently use video-based digital platforms as a training resource in their preparations for surgery that they have not seen or done before. The establishment or support of platforms with evidence-based content with references from official orthopedic institutions and organizations can increase the trust of orthopedic specialists in these platforms.
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Affiliation(s)
- Hakan Zeybek
- Izmir Katip Celebi University, Ataturk Training and Research Hospital, Department of Orthopaedics and Traumatology - Izmir, Turkey
| | - Hakan Cici
- Izmir Demokrasi University, Buca Seyfi Demirsoy Training and Research Hospital, Department of Orthopaedics and Traumatology - Izmir, Turkey
| | - Ali Ihsan Kilic
- Bakırcay University, Cigli Training and Research Hospital, Department of Orthopaedics and Traumatology - Izmir, Turkey
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Cohn RM, Klein BJ, Bitterman AD, Nellans KW. Update on Educational Resources and Evaluation Tools for Orthopaedic Surgery Residents. J Am Acad Orthop Surg 2023; 31:660-668. [PMID: 37205879 DOI: 10.5435/jaaos-d-22-01195] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 04/20/2023] [Indexed: 05/21/2023] Open
Abstract
Innovations in orthopaedic resident educational resources and evaluation tools are essential to ensuring appropriate training and ultimately the graduation of competent orthopaedic surgeons. In recent years, there have been several advancements in comprehensive educational platforms within orthopaedic surgery. Orthobullets PASS, Journal of Bone and Joint Surgery Clinical Classroom, and American Academy of Orthopaedic Surgery Resident Orthopaedic Core Knowledge each have their own unique advantages in preparation for the Orthopaedic In-Training Examination and American Board of Orthopaedic Surgery board certification examinations. In addition, the Accreditation Council for Graduate Medical Education Milestones 2.0 and the American Board of Orthopaedic Surgery Knowledge Skills Behavior program each provide objective assessment of resident core competencies. Understanding and using these new platforms will help orthopaedic residents, faculty, residency programs, and program leadership to best train and evaluate their residents.
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Affiliation(s)
- Randy M Cohn
- From the Zucker School of Medicine at Hofstra/Northwell Health (Cohn, Klein, and Bitterman), Huntington Hospital Orthopaedic Surgery Residency Program, Huntington, NY, and the Zucker School of Medicine at Hofstra/Northwell Health (Nellans), Long Island Jewish Medical Center Orthopaedic Surgery Residency Program, New Hyde Park, NY
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Scarlat MM, Mavrogenis A, Hernigou P, Waddell JP. New surgical techniques and social media in orthopaedics. Is a scientific peer-reviewed journal assimilated to a social media platform? INTERNATIONAL ORTHOPAEDICS 2023; 47:1-4. [PMID: 36534163 PMCID: PMC9761020 DOI: 10.1007/s00264-022-05656-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Marius M. Scarlat
- Clinique Chirurgicale St Michel, Toulon, France and Group ELSAN, Paris, France
| | - Andreas Mavrogenis
- The Orthopaedic Department, Kapadostrian University of Athens, Athens, Greece
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Hernigou P, Scarlat MM. Growth in musculoskeletal pathology worldwide: the role of Société Internationale de Chirurgie Orthopédique et de Traumatologie and publications. INTERNATIONAL ORTHOPAEDICS 2022; 46:1913-1920. [PMID: 35849161 DOI: 10.1007/s00264-022-05512-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Orthopaedic Sports Medicine Podcasts Should Tailor Characteristics Such as Episode Length and Social Media Utilization for Best Audience Engagement. Arthrosc Sports Med Rehabil 2022; 4:e957-e964. [PMID: 35747629 PMCID: PMC9210369 DOI: 10.1016/j.asmr.2022.01.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 01/24/2022] [Indexed: 01/17/2023] Open
Abstract
Purpose To describe the growth and characteristics of active orthopaedic sports medicine podcasts. Methods Three common podcasting platforms (Apple, Google, and Spotify) were queried July 24, 2021 using the search term “sports medicine.” For each unique active podcast hosted by an orthopaedic surgeon, data were collected on year of the first episode, number of episodes, frequency of episodes, types of guests, topics discussed, episode length, and social media presence. Descriptive characteristics were then calculated. Results 15 podcasts met inclusion criteria. Seven (46.7%) of these podcasts were started within 12 months of July 24, 2021. The most common episode release schedule was weekly, and podcast lengths averaged 21 minutes, 47 seconds (SD 17:17, range: 11:02–1:49:13). All podcasts featured guests, most often from a variety of sports medicine backgrounds. Social media platforms were commonly used by podcast hosts, with social media account follower numbers as high as over 100,000, and consistent engagement across three major social media platforms for most podcasts. Conclusions This study found that episodes are typically released weekly and average 21 minutes, 47 seconds long, with most covering a wide array of topics in sports medicine. The Facebook accounts of these podcasts displayed higher numbers of followers compared to other social media platforms; however, Instagram was superior for engagement. Clinical Relevance Orthopaedic sports medicine podcasts have an increasing presence and can be used to increase trainee engagement and public exposure via tailoring of podcast episode lengths and selection of social media platforms with high audience interaction.
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Fehervari M, Das B, Soleimani-Nouri P, Ahmad M, Fadel MG, Deputy M, Morgan C, Burke JR, Mason JD, Nott D, Spalding D. Can surgical skills be taught using technological advances online? A comparative study of online and face-to-face surgical skills training. Surg Endosc 2022; 36:4631-4637. [PMID: 35254521 PMCID: PMC9085701 DOI: 10.1007/s00464-022-09170-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 02/21/2022] [Indexed: 01/29/2023]
Abstract
INTRODUCTION Online teaching has rapidly emerged as a viable alternative to traditional face-to-face education. How to teach surgical skills in the online environment, however, has not yet been fully established nor evaluated. METHODS An international 1-day online surgical skills course consisting of lectures, pre-recorded virtual workshops, live demonstrations and along with surgical skills teaching in breakout rooms was organised. Based on existing learning theories, new methods were developed to deliver skills teaching online. Simultaneously, traditional in-person surgical skills teaching was also conducted and used as a benchmark. Skills development was assessed by trained demonstrators and self-reported competency scores were compared between the online and face-to-face event. RESULTS 553 delegates from 20 different countries attended the online course. Of these, 64 were trained in breakout rooms with a 1:5 demonstrator-to-delegate ratio whilst the remaining 489 delegates participated in didactic skills development sessions. In a separate face-to-face course, 20 delegates were trained with traditional methods. Demonstrators rated the competency of delegates for suturing, tendon repair and vascular anastomosis. There was no significant difference in the competency ratings of delegates receiving online teaching or face-to-face teaching (p = 0.253, p = 0.084, p = 1.00, respectively). The development of the same skills to "articulation" were not different between formats (p = 0.841, p = 0.792, p = 1.00, respectively). Post course self-rated competency scores improved for all technical skills (p < 0.001). Small group sessions, both online and face-to-face, received higher satisfaction ratings compared to large group sessions in terms of clarity of instructions, answers to questions and demonstrator feedback. Overall feedback on teaching quality, however, was equivalent across both groups. DISCUSSION Online teaching of surgical skills for early training years is an appropriate alternative to face-to-face teaching.
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Affiliation(s)
- Matyas Fehervari
- Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.
- Association of Surgeons in Training, London, UK.
| | - Bibek Das
- Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
| | - Payam Soleimani-Nouri
- Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
| | - Manal Ahmad
- Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
- London North West University Healthcare NHS Trust, London, UK
| | - Michael G Fadel
- Association of Surgeons in Training, London, UK
- Chelsea and Westminster Hospital, London, UK
| | - Mohammed Deputy
- Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
- Surgical Epidemiology, Trials and Outcome Centre, St Mark's Hospital and Academic Institute, London, UK
| | | | | | | | - David Nott
- Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
| | - Duncan Spalding
- Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
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Carlson SR, Bukowiec LG, Hasley HL, Megalla M. Letter to the Editor on: Online educational resources for orthopaedic residency-a narrative review. INTERNATIONAL ORTHOPAEDICS 2021; 45:2755-2756. [PMID: 34462792 PMCID: PMC8405386 DOI: 10.1007/s00264-021-05205-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 08/23/2021] [Indexed: 12/05/2022]
Affiliation(s)
- Steven R. Carlson
- Hackensack Meridian School of Medicine, 340 Kingsland Street, Nutley, NJ USA
| | - Lainey G. Bukowiec
- Hackensack Meridian School of Medicine, 340 Kingsland Street, Nutley, NJ USA
| | - Hunter L. Hasley
- Hackensack Meridian School of Medicine, 340 Kingsland Street, Nutley, NJ USA
| | - Martinus Megalla
- Hackensack Meridian School of Medicine, 340 Kingsland Street, Nutley, NJ USA
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