Cigar Box Arthroscopy: A Study of Non-Anatomic Arthroscopy Training (CBA)

August 21, 2024 updated by: University of Arizona

Cigar Box Arthroscopy: A Randomized Controlled Trial Validates Non-Anatomic Simulation Training of Novice Arthroscopy Skills

Comparison of success rates of novice surgeons to attain proficiency in basic arthroscopy skills after receiving prior training with different simulation systems.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

A non-anatomic set of training modules utilizing cigar boxes was developed at our institution to instruct residents in the basics of knee arthroscopy. Twenty-four medical students with no prior arthroscopic or laparoscopic experience were enrolled as subjects. Sixteen subjects were randomized to participate in four hours of either the cigar box arthroscopy trainer (CBAT) or a previously validated anatomic knee arthroscopy trainer (AKAT). The remaining eight subjects served as controls (CO). All subjects underwent a one-hour formalized training session provided by our orthopaedic sports faculty. Subjects' skills were assessed by one of two faculty members through repeated attempts at performing a diagnostic knee arthroscopy on a cadaveric specimen. Objective scores were given using the Basic Arthroscopic Knee Skill Scoring System. Total cost differences were also calculated.

Study Type

Interventional

Enrollment (Actual)

24

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • First or Second year medical student with no prior arthroscopy or laparoscopy training.

Exclusion Criteria:

  • Having previously received education in arthroscopy or laparoscopy or handled these instruments.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: CO
8 subjects who did not undergo arthroscopy simulation training prior to assessment on cadaveric specimens. These served as controls.
Other: Pre-assesment education
Reading material and lecture with only still images about performing diagnostic knee arthroscopy
Experimental: CBAT
8 Subjects who received 4 hours of simulation training on the Cigar Box Arthroscopy Trainer. They then underwent assessment on cadaveric specimens.
Other: Pre-assesment education
Reading material and lecture with only still images about performing diagnostic knee arthroscopy
Other: Non-Anatomic Arthroscopy Simulation
Knee arthroscopy training using Cigar Box Arthroscopy Trainer
Experimental: AKAT
8 Subjects who received 4 hours of simulation training on the Anatomic Knee Arthroscopy Trainer. They then underwent assessment on cadaveric specimens.
Other: Pre-assesment education
Reading material and lecture with only still images about performing diagnostic knee arthroscopy
Other: Anatomic Arthroscopy Simulation
Knee arthroscopy training using Anatomic Knee Arthroscopy Trainer

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Success rate in reaching a level of minimum proficiency
Time Frame: 1 hour
Subjects were told to perform serial knee arthroscopic examinations on a cadaveric specimen over one hour. Evaluators used a validated objective scoring system to assess performance and which subjects were able to attain a level of minimum proficiency.
1 hour

Secondary Outcome Measures

Outcome Measure
Time Frame
Number of attempts to reach minimum proficiency
Time Frame: 1 Hour
1 Hour

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Arizona

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2015

Primary Completion (Actual)

April 1, 2015

Study Completion (Actual)

April 1, 2015

Study Registration Dates

First Submitted

April 23, 2016

First Submitted That Met QC Criteria

April 23, 2016

First Posted (Estimated)

April 27, 2016

Study Record Updates

Last Update Posted (Actual)

August 23, 2024

Last Update Submitted That Met QC Criteria

August 21, 2024

Last Verified

June 1, 2016

More Information

Terms related to this study

Other Study ID Numbers

  • 1410543185

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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