Using Multimedia to Teach Preoperative Planning
Target Audience: Orthopaedic surgeons and residents
Traditional Approach: Lectures, demonstrations
New Approach: Interactive multimedia
Progress: A training program is near completion
Project Director Bill Green
Multimedia computer programs combine text, pictures, animation, audio and video in a manner that allows users to interact with learning materials in a uniquely efficient and rewarding way. Mr. Green is now applying this technology to teaching an advanced method of determining the optimal geometry of hip replacement.
Total hip arthroplasty, which barely three decades ago was considered an exotic,
last-ditch procedure, is now performed hundreds of thousands times annually
on people with incapacitating conditions that are unresponsive to nonoperative
treatment. The clinician’s standard preparation for this (or any other) surgery
includes the development of a preoperative plan, as well as the execution of
the plan in surgery, the creation of contingency plans and the execution thereof
if the initial plan cannot be implemented. In preoperative planning for total
hip arthroplasty, the surgeon typically compares transparent implant templates
with x-rays to gauge proper component size and positioning. The lack of a comprehensive,
commonly accepted procedure for this process is a problem that the current
project seeks to address.
Computer-assisted learning llustrated here is a sequence from the program Preoperative Planning for Total Hip Arthroplasty. Users are prompted to trace key landmarks and then place the implant template over the x-ray to determine best implant fit.
A templating technique
has been developed that takes into account not only optimal implant fit but
also such other important factors as the need to avoid leg-length discrepancy
and its sequelae, including disruption of normal gait. While one can learn
this technique from a text or a demonstration, mastering it is best accomplished
through concentrated practice and with direct feedback from the instructor.
The project under development, based on this templating method,
provides a learning environment that can be negotiated at a pace and to a depth
most comfortable to the learner. The program demonstrates in detail, by a variety
of means, how to perform the new hip templating technique and provides a “virtual
workshop” in
which the user is coached step by step.