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  • For Patients, GPs & Physiotherapies - New!!! NHS Choose & Book
    The Unit at Berkshire Independent Hospital is open for NHS patients through Choose & Book (Extended Choice Network).
    Book online
    or contact the secretaries. [Read more]
  • Excellent clinical results over more than 13 years with the Verso rTSA.
    Very high patient satisfaction and return to full activities including sports. [Read more]
  • The least complications with the Verso shoulder compared with other reverse shoulder systems
    From the Royal National Orthopaedic Hospital, Birmingham, UK
    S. Robati, M.K. Shahid, J. Allport, A. Ray and G. Sforza
    Bone & Joint Journal 2013, Vol. 95-B Supp. 25-27

    Complication Rates From Three Commonly Used Reverse Polarity Total Shoulder Replacements: A Minimum Two Year Follow-Up Of 64 Cases
     
  • Excellent results with the Verso TSA were published in Italy! 
    A group of oorthopaedic surgeons from northern Italy from Piacenza and Verona published their first few years experience with the stemless reverse TSA - The VERSO. 
    They present Excellent clinical and radiologic results that mirror the results of the designing centre!
    (Read more) [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • Art at the Reading Shoulder and Elbow Centre
    Original fine art prints all dealing with human body in different situations by four artists are exhibited in the Reading Shoulder and Elbow centre 

    The prints on display are available to buy, with the artist contributing a donation to research. For more information please contact the secretaries in the unit.

    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    and it was launched and in increase use in Australia. 

  • Due to the current state of lockdown due the Coronavirus outbreak, We offer Virtual Video consultations for post-operative patients and follow-up and offer Virtual Video consultations for advice for new patients.

    If interested please call:
    Prof. Ofer Levy - Secretary - Cherie 07800875033
    Mr. Giuseppe Sforza - Secretary - Tania 07488384479
    NHS - Secretary - Gail 0118 902 8109
      [Read more]
  • Further scientific support from Robert Hudek et al. paper to Prof. Levy’s theory on the role of C Acnes in the aetiology of Osteoarthritis (Read More)
  • The RSU Academy Course for GPs and Physiotherapists will take place virtually, via Zoom,

    weekly every Wednesday between 19:00 - 20:00 UK time.
     

    This week on the 18/11/2020:

    Shoulder Instability - Diagnosis and treatment options – Update

    [Read more]
  • תן כתף לשלום

    מומחה ישראלי ומומחה פלסטיני משתלמים ביחד אצל פרופ׳ עפר לוי המנהל את המרכז הבינלאומי לכירורגיה של הכתף ברידינג. האם כאן יתחיל השלום במזרח התיכון? שיחה

    [Read more]
Doctify
Insightmist Virtual Reality Arthroscopy Simulator

Virtual Reality Arthroscopic Simulator –

 

The Future of Arthroscopic Training

Modern minimally invasive surgery with arthroscopic surgical techniques demand high level of skills especially with regard to triangulation in space as well as working within a particular joint while observing the images (often in different orientation) on a separate screen. The learning curve to obtain these skills is very long and steep. It may take several years of training to learn and accomplish proficiency in these techniques.

Current teaching techniques involve traditional apprenticeship with many hours/years of assisting senior surgeons, learning on plastic models (rarely mimicking the 'real' life), participating in courses with workshops practising on human cadavers and eventually 'learning' on real patients.

There are obviously difficulties with these methods of teaching and training as resources are limited.

Utilising the Virtual Reality (VR) capabilities with tactile feedback within an arthroscopic simulator may overcome these difficulties and improve the ability to teach and train surgeons in performing these complex arthroscopic procedures without risking any live patients.

The VR arthroscopic simulator provides an unlimited resource for training, readily available to all. Surgeons can practice on these simulators for unlimited times until they achieve good enough skills to enable them to perform these procedures safely on patients.

Trainees' arthroscopic skills improvement can be measured by setting a series of increasingly complex exercises that the trainees should perform. The simulator programme will grant them points for quality of performance as well as for speed, avoiding unnecessary movements etc.  Trainers can assess quantitatively the skills achieved by the trainees and certify them to perform these procedures using objective criteria.

Virtual Reality (VR) arthroscopic simulator with tactile feedback provides an excellent teaching tool and quantitative skill assessment tool.  No doubt that the future of arthroscopic training will rely on such simulators.

Prof. Ofer Levy and the Reading shoulder unit was on the advisory and development board of this simulator early-on.

Prof. Levy worked closely with the engineers of GMV to create simulation of the shoulder joint, as close as possible to reality, simulating video recording and images taken by him in arthroscopies.

 

Prof. Levy jointly with GMV enginers, developed the first virtual arthroscopic "surgical modules" with Arthroscopic Subacromial Decompression (with Traffic light simulation: Green-very good, Ambar-not so good, Red-failed), and virtual insertion of anchors...



Green - Good, Ambar - Need more practice, Red - Game Over!

Reading shoulder unit uses the Virtual Reality (VR) arthroscopic simulator in the bioskills lab for training of the trainees, fellows and visiting surgeons.
 

 

by Insightmist GMV