Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing

Julie Manon; Michael Saint-Guillain; Vladimir Pletser; Daniel Miller Buckland; Laurence Vico; William Dobney; Sarah Baatout; Cyril Wain; Jean Jacobs; Audrey Comein; Sirga Drouet; Julien Meert; Ignacio Sanchez Casla; Cheyenne Chamart; Jean Vanderdonckt; Olivier Cartiaux; Olivier Cornu

doi:10.1038/s41598-023-43878-1

Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing

Julie Manon, Michael Saint-Guillain, Vladimir Pletser, Daniel Miller Buckland, Laurence Vico, William Dobney, Sarah Baatout, Cyril Wain, Jean Jacobs, Audrey Comein, Sirga Drouet, Julien Meert, Ignacio Sanchez Casla, Cheyenne Chamart, Jean Vanderdonckt, Olivier Cartiaux, Olivier Cornu

Research output › peer-review

Abstract

Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analogue astronauts (n = 6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2% repair success, and median completion time was 50.04 min. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p > 0.05). Similar techniques could be used in LDEM to increase astronauts’ autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.

Original language	English
Article number	18072
Number of pages	13
Journal	Scientific Reports
Volume	13
Issue number	1
DOIs	https://doi.org/10.1038/s41598-023-43878-1
State	Published - Dec 2023

ASJC Scopus subject areas

General

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10.1038/s41598-023-43878-1

Cite this

Manon, J., Saint-Guillain, M., Pletser, V., Buckland, D. M., Vico, L., Dobney, W., Baatout, S., Wain, C., Jacobs, J., Comein, A., Drouet, S., Meert, J., Casla, I. S., Chamart, C., Vanderdonckt, J., Cartiaux, O., & Cornu, O. (2023). Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing. Scientific Reports, 13(1), Article 18072. https://doi.org/10.1038/s41598-023-43878-1

@article{d40f2e2fc5784f0a9dfa9cef32904aeb,

title = "Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing",

abstract = "Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analogue astronauts (n = 6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2% repair success, and median completion time was 50.04 min. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p > 0.05). Similar techniques could be used in LDEM to increase astronauts{\textquoteright} autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.",

author = "Julie Manon and Michael Saint-Guillain and Vladimir Pletser and Buckland, {Daniel Miller} and Laurence Vico and William Dobney and Sarah Baatout and Cyril Wain and Jean Jacobs and Audrey Comein and Sirga Drouet and Julien Meert and Casla, {Ignacio Sanchez} and Cheyenne Chamart and Jean Vanderdonckt and Olivier Cartiaux and Olivier Cornu",

note = "Score=10 Funding Information: Authors have no conflict of interest to declare. This research did not directly receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors but this study would not have been possible without the participation to the Mars analogue mission funded by sponsors including Louvain4space, Sabca, Aerospacelab, B12 consulting, Oscar, UDH (Urgence Depollution Hydrocarbures), UCLouvain Fipe, SBIM (Soci{\'e}t{\'e} Belge d'Informatique M{\'e}dicale), Space Application, SPW (Service Public de Wallonie), Ludovic de Meuus, Fonds Jeremy, WBI (Wallonie-Bruxelles International), which the authors would like to particularly thank. These funding sources were not involved in study design, in collection, analysis and interpretation of data nor in outcomes. Trade names and trademarks are used in this report for identification only. Their usage does not constitute an official endorsement, either expressed or implied, by the National Aeronautics and Space Administration or the NASA Human System Risk Board. This manuscript does not constitute an official policy or position, either expressed or implied, by the National Aeronautics and Space Administration. Funding Information: The authors would like to deeply thank Dr. Shannon Rupert as well as the Mars Desert Research Station committee and the Mars Society to welcome the crew in the Utah desert for the simulation and for the opportunity to execute this research in a Mars analogue environment. This work was supported by a F.S.R. Fund (« Fonds Sp{\'e}ciaux de Recherche », Belgium, Ref. ADi/16568.2021), a « Student Angel Fund » (Ref. 304907648 val-31.05.), both granted by M.A.R.S. UCLouvain crew 2022 and a F.N.R.S. Aspirant Fund granted by Dr. Julie Manon (« Fonds National de la Recherche Scientifique », Application ID 40004991, Belgium,). The authors also want to thank Kouam{\'e} Jean-Eric Kouassi for his PhD thesis about the creation of the new EZExFix as well as Lies Fiev{\'e} and Christine de Ville de Goyet for their help to create artificial broken legs. The “Support en M{\'e}thodologie et Calcul Statistique” (SMCS, UCLouvain) also brought a precious help in statistic advice and analyses. Figure was partly generated using modified template provided by Servier Medical Art ( http://smart.servier.com/ , accessed on 14 July 2022), licensed under a Creative Commons Attribution 3.0 imported license ( https://creativecommons.org/licenses/by/3.0/ ). Funding Information: The authors would like to deeply thank Dr. Shannon Rupert as well as the Mars Desert Research Station committee and the Mars Society to welcome the crew in the Utah desert for the simulation and for the opportunity to execute this research in a Mars analogue environment. This work was supported by a F.S.R. Fund (« Fonds Sp{\'e}ciaux de Recherche », Belgium, Ref. ADi/16568.2021), a « Student Angel Fund » (Ref. 304907648 val-31.05.), both granted by M.A.R.S. UCLouvain crew 2022 and a F.N.R.S. Aspirant Fund granted by Dr. Julie Manon (« Fonds National de la Recherche Scientifique », Application ID 40004991, Belgium,). The authors also want to thank Kouam{\'e} Jean-Eric Kouassi for his PhD thesis about the creation of the new EZExFix as well as Lies Fiev{\'e} and Christine de Ville de Goyet for their help to create artificial broken legs. The “Support en M{\'e}thodologie et Calcul Statistique” (SMCS, UCLouvain) also brought a precious help in statistic advice and analyses. Figure 4 was partly generated using modified template provided by Servier Medical Art (http://smart.servier.com/ , accessed on 14 July 2022), licensed under a Creative Commons Attribution 3.0 imported license (https://creativecommons.org/licenses/by/3.0/). Publisher Copyright: {\textcopyright} 2023, Springer Nature Limited.",

year = "2023",

month = dec,

doi = "10.1038/s41598-023-43878-1",

language = "English",

volume = "13",

journal = "Scientific Reports",

issn = "2045-2322",

publisher = "Nature Publishing Group",

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Manon, J, Saint-Guillain, M, Pletser, V, Buckland, DM, Vico, L, Dobney, W, Baatout, S, Wain, C, Jacobs, J, Comein, A, Drouet, S, Meert, J, Casla, IS, Chamart, C, Vanderdonckt, J, Cartiaux, O & Cornu, O 2023, 'Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing', Scientific Reports, vol. 13, no. 1, 18072. https://doi.org/10.1038/s41598-023-43878-1

TY - JOUR

T1 - Adequacy of in-mission training to treat tibial shaft fractures in mars analogue testing

AU - Manon, Julie

AU - Saint-Guillain, Michael

AU - Pletser, Vladimir

AU - Buckland, Daniel Miller

AU - Vico, Laurence

AU - Dobney, William

AU - Baatout, Sarah

AU - Wain, Cyril

AU - Jacobs, Jean

AU - Comein, Audrey

AU - Drouet, Sirga

AU - Meert, Julien

AU - Casla, Ignacio Sanchez

AU - Chamart, Cheyenne

AU - Vanderdonckt, Jean

AU - Cartiaux, Olivier

AU - Cornu, Olivier

N1 - Score=10 Funding Information: Authors have no conflict of interest to declare. This research did not directly receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors but this study would not have been possible without the participation to the Mars analogue mission funded by sponsors including Louvain4space, Sabca, Aerospacelab, B12 consulting, Oscar, UDH (Urgence Depollution Hydrocarbures), UCLouvain Fipe, SBIM (Société Belge d'Informatique Médicale), Space Application, SPW (Service Public de Wallonie), Ludovic de Meuus, Fonds Jeremy, WBI (Wallonie-Bruxelles International), which the authors would like to particularly thank. These funding sources were not involved in study design, in collection, analysis and interpretation of data nor in outcomes. Trade names and trademarks are used in this report for identification only. Their usage does not constitute an official endorsement, either expressed or implied, by the National Aeronautics and Space Administration or the NASA Human System Risk Board. This manuscript does not constitute an official policy or position, either expressed or implied, by the National Aeronautics and Space Administration. Funding Information: The authors would like to deeply thank Dr. Shannon Rupert as well as the Mars Desert Research Station committee and the Mars Society to welcome the crew in the Utah desert for the simulation and for the opportunity to execute this research in a Mars analogue environment. This work was supported by a F.S.R. Fund (« Fonds Spéciaux de Recherche », Belgium, Ref. ADi/16568.2021), a « Student Angel Fund » (Ref. 304907648 val-31.05.), both granted by M.A.R.S. UCLouvain crew 2022 and a F.N.R.S. Aspirant Fund granted by Dr. Julie Manon (« Fonds National de la Recherche Scientifique », Application ID 40004991, Belgium,). The authors also want to thank Kouamé Jean-Eric Kouassi for his PhD thesis about the creation of the new EZExFix as well as Lies Fievé and Christine de Ville de Goyet for their help to create artificial broken legs. The “Support en Méthodologie et Calcul Statistique” (SMCS, UCLouvain) also brought a precious help in statistic advice and analyses. Figure was partly generated using modified template provided by Servier Medical Art ( http://smart.servier.com/ , accessed on 14 July 2022), licensed under a Creative Commons Attribution 3.0 imported license ( https://creativecommons.org/licenses/by/3.0/ ). Funding Information: The authors would like to deeply thank Dr. Shannon Rupert as well as the Mars Desert Research Station committee and the Mars Society to welcome the crew in the Utah desert for the simulation and for the opportunity to execute this research in a Mars analogue environment. This work was supported by a F.S.R. Fund (« Fonds Spéciaux de Recherche », Belgium, Ref. ADi/16568.2021), a « Student Angel Fund » (Ref. 304907648 val-31.05.), both granted by M.A.R.S. UCLouvain crew 2022 and a F.N.R.S. Aspirant Fund granted by Dr. Julie Manon (« Fonds National de la Recherche Scientifique », Application ID 40004991, Belgium,). The authors also want to thank Kouamé Jean-Eric Kouassi for his PhD thesis about the creation of the new EZExFix as well as Lies Fievé and Christine de Ville de Goyet for their help to create artificial broken legs. The “Support en Méthodologie et Calcul Statistique” (SMCS, UCLouvain) also brought a precious help in statistic advice and analyses. Figure 4 was partly generated using modified template provided by Servier Medical Art (http://smart.servier.com/ , accessed on 14 July 2022), licensed under a Creative Commons Attribution 3.0 imported license (https://creativecommons.org/licenses/by/3.0/). Publisher Copyright: © 2023, Springer Nature Limited.

PY - 2023/12

Y1 - 2023/12

N2 - Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analogue astronauts (n = 6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2% repair success, and median completion time was 50.04 min. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p > 0.05). Similar techniques could be used in LDEM to increase astronauts’ autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.

AB - Long bone fractures are a concern in long-duration exploration missions (LDEM) where crew autonomy will exceed the current Low Earth Orbit paradigm. Current crew selection assumptions require extensive complete training and competency testing prior to flight for off-nominal situations. Analogue astronauts (n = 6) can be quickly trained to address a single fracture pattern and then competently perform the repair procedure. An easy-to-use external fixation (EZExFix) was employed to repair artificial tibial shaft fractures during an inhabited mission at the Mars Desert Research Station (Utah, USA). Bone repair safety zones were respected (23/24), participants achieved 79.2% repair success, and median completion time was 50.04 min. Just-in-time training in-mission was sufficient to become autonomous without pre-mission medical/surgical/mechanical education, regardless of learning conditions (p > 0.05). Similar techniques could be used in LDEM to increase astronauts’ autonomy in traumatic injury treatment and lower skill competency requirements used in crew selection.

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