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Evaluation of a virtual-reality-based simulator using passive haptic feedback for knee arthroscopy.

Sandro F Fucentese1, Stefan Rahm, Karl Wieser

  • 1Orthopaedic Department, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

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This study validates a new virtual-reality simulator for knee arthroscopy training. The simulator demonstrates high realism and effectively differentiates skill levels, supporting its use in surgical education.

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Area of Science:

  • Medical Simulation
  • Surgical Training
  • Virtual Reality

Background:

  • Knee arthroscopy requires specialized skills and extensive training.
  • Traditional training methods may have limitations in providing consistent, safe, and repeatable practice.
  • Virtual reality (VR) simulators offer a promising avenue for enhancing surgical education.

Purpose of the Study:

  • To determine the face validity and construct validity of a novel VR-based simulator for knee arthroscopy.
  • To assess the simulator's realism, training capacity, and ability to differentiate skill levels.

Main Methods:

  • A passive haptics VR simulator was evaluated by 68 participants (novices, intermediates, experts).
  • Face validity was assessed via questionnaires on realism and training utility (7-point Likert scale).
  • Construct validity was tested by comparing performance metrics between novices and experts in two exercises.

Main Results:

  • High face validity scores were achieved: overall realism (mean 5.5) and training capacity (mean 5.9).
  • Experts demonstrated significantly faster procedure times and shorter camera path lengths compared to novices.
  • The simulator was perceived as a useful tool for diagnostic and therapeutic knee arthroscopy training.

Conclusions:

  • The VR simulator exhibits high realism and effectively distinguishes between varying levels of arthroscopic expertise.
  • It serves as a valuable tool for procedural training, complementing traditional knee arthroscopy education.
  • Further enhancements for therapeutic arthroscopy are recommended, but the technology shows significant potential.