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Performance on a Virtual Reality DHS Simulator Correlates with Performance in the Operating Theatre
Kalpesh R Vaghela1, Joshua Lee1, Kash Akhtar1
1Department of Trauma & Orthopaedic Surgery, Royal London Hospital, Barts Health, NHS Trust, Whitechapel, London.
Virtual reality (VR) simulation for Dynamic Hip Screw (DHS) surgery showed no significant difference in performance compared to the operating theatre. This suggests VR is a valuable tool for training DHS procedures.
Area of Science:
- Orthopaedic Surgery
- Medical Simulation
- Surgical Training
Background:
- Dynamic Hip Screw (DHS) fixation for neck of femur fractures is a common orthopaedic trauma procedure.
- Changing surgical practices have reduced opportunities for trainees to perform DHS fixation.
- Virtual reality (VR) simulation offers a safe and efficient method for surgical skills acquisition.
Purpose of the Study:
- To evaluate the correlation between surgeon performance on a VR DHS simulator and their actual performance in the operating theatre.
- To determine if VR simulation can accurately reflect real-world surgical outcomes.
Main Methods:
- Retrospective analysis of DHS fixation procedures for neck of femur fractures.
- Measurement of intraoperative tip-apex distance (TAD) and assessment of cut-out probability from fluoroscopic images.
- Correlation of in-theatre TAD with TAD achieved by the same surgeons on a VR DHS simulator.
Main Results:
- Twenty-five surgeons across different experience levels (novice, intermediate, expert) participated.
- No statistically significant difference was found in TAD between operating theatre performance and VR simulator performance (p=0.688).
Conclusions:
- VR DHS simulation performance closely mirrors operating theatre performance.
- The VR simulator is effective for training specific components of the DHS procedure.
- Further research is required to confirm if VR simulator training enhances in-theatre surgical outcomes.
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