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Background: Contamination of sterilized surgical instruments is not a typically suspected source of increased infection rate, especially if no abnormalities in the sterilization process are detected.
Purpose/hypothesis: The purpose of this study was to report increased infection rates after knee ligament reconstructions due to undetectable sterilization process errors leading to residual moisture, not limited to a specific surgical tool. It was hypothesized that (1) residual moisture on surgical tools due to autoclave overloading would not be detected by autoclave self-diagnostics, chemical and biological tests, or organoleptic assessment and (2) this kind of contamination may elevate infection rates, especially in knee intra-articular reconstruction procedures.
Evaluating the Confidence of Non-specialty Doctors Working in Trauma and Orthopedics in Performing Knee Arthrocentesis Through Simulation-Based Teaching.
Cureus
October 2024
Trauma and Orthopedics, University Hospitals of Derby and Burton NHS Foundation Trust, Burton-on-Trent, GBR.
Introduction Acute monoarthropathies that present in emergency settings include septic arthritis, where urgent joint arthrocentesis is the diagnostic gold standard. Literature indicates low confidence among trainee doctors in performing knee aspirations. Simulation-based teaching can be used to supplement procedural skills training and improve their confidence in performing such procedures.
View Article and Find Full Text PDFUtility of virtual reality in medical training: Clinical management of a patient with knee monoarthritis.
Reumatol Clin (Engl Ed)
December 2024
Departamento de Anatomía Humana, Facultad de Medicina, Universidad de Salamanca, Salamanca, Spain.
The use of technological environments with virtual reality (VR) techniques for the practice of arthrocentesis offers an effective and safe way to learn and improve the necessary skills to carry out a medical procedure and patient care. This article presents an interactive simulator using immersive VR, in which the participant experiences practicing clinical management and decision-making in the face of a person presenting with monoarthritis in a medical consultation. The objective with this development is for the user to acquire the competence to perform, correctly and safely, a knee arthrocentesis and to differentiate the types of synovial fluids that can be found in a joint.
View Article and Find Full Text PDFThe Impact of Self-Directed Arthrocentesis Model Practice on Student Stress and Procedural Performance of Live Donkey Arthrocentesis.
J Vet Med Educ
August 2024
Lincoln Memorial University College of Veterinary Medicine, 6965 Cumberland Gap Pkwy, Harrogate TN 37752 USA.
Article Synopsis
- Arthrocentesis is a key procedure for diagnosing and treating lameness in horses, but veterinary students often lack adequate training on live animals due to limited practice opportunities.
- A study evaluated the impact of practicing arthrocentesis on an equine model before performing it on a live donkey, measuring students' stress levels and anxiety throughout the process.
- Results showed no significant difference in performance or stress reduction between the model-trained and control groups, indicating that a single practice session may not effectively enhance students' skills or alleviate anxiety when performing arthrocentesis on live animals.
Systematic review of intervention descriptions in randomised controlled trials with injectable agents for temporomandibular disorder using TIDieR and PEDro scales.
Br J Oral Maxillofac Surg
December 2024
Federal University of Espírito Santo, Department of Clinical Dentistry, Vitória, Espírito Santo, Brazil. Electronic address:
Article Synopsis
- The study aimed to evaluate the quality of randomized controlled trials (RCTs) that analyze injectable treatments for painful temporomandibular joint disorders after arthrocentesis, focusing on how well these interventions are described.
- A total of 9,793 articles were screened, with 19 RCTs ultimately included in the analysis, revealing that important details about the interventions—such as modifications and who performed them—were often lacking.
- The research found no correlation between the quality of intervention descriptions (TIDieR) and the overall methodological quality (PEDro) of the RCTs, suggesting that even well-conducted trials may not thoroughly report all necessary details for reproducibility.
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