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Multimedia Development

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.