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Updated: Jan 25, 2026

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Validation of Simendo Knee Arthroscopy Virtual Reality Simulator.
Laura L M van der Heijden1, Max Reijman1, M C Marieke van der Steen2
1Department of Orthopedic Surgery and Trauma, Máxima Medical Center, Eindhoven, The Netherlands.
Summary
This study validates a virtual reality knee arthroscopy simulator for training basic skills. The Simendo simulator demonstrates construct validity and user-friendliness, making it suitable for early surgical education.
Area of Science:
- Medical Simulation
- Surgical Education
- Orthopedics
Background:
- Virtual reality (VR) simulators offer a safe environment for surgical training.
- Assessing the validity and usability of VR simulators is crucial for effective integration into medical curricula.
Purpose of the Study:
- To evaluate the face and construct validity, educational value, and user-friendliness of the Simendo knee arthroscopy virtual reality simulator.
- To determine if the simulator can differentiate between surgical skill levels.
Main Methods:
- Sixty participants (novices, intermediates, experts) performed navigation tasks on the simulator.
- Construct validity was assessed by comparing task times across expertise levels.
- Face validity, educational value, and user-friendliness were evaluated using pre- and post-task questionnaires.
Main Results:
- The simulator demonstrated construct validity, with significant differences in task completion times between novice, intermediate, and expert groups.
- 92% of participants agreed on the simulator's utility for surgical inspection training.
- 95% of participants found the simulator sufficiently user-friendly.
Conclusions:
- The Simendo knee arthroscopy simulator is partly validated and suitable for training basic arthroscopic hand-eye coordination skills.
- It can be incorporated into the early stages of resident education programs without compromising patient safety.
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