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Related Experiment Video

Updated: Jan 2, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

Virtual reality training improves trainee performance in total hip arthroplasty: a randomized controlled trial.

Kartik Logishetty^1,2, Branavan Rudran^1,2, Justin P Cobb¹

¹The MSk Lab, Department of Surgery and Cancer, Imperial College London, London, UK.

The Bone & Joint Journal

|December 3, 2019

Summary

Virtual reality (VR) training significantly improved surgical skills for total hip arthroplasty (THA) compared to conventional methods. VR-trained surgeons demonstrated better performance, accuracy, and efficiency in cadaveric procedures.

Keywords:

Hip arthroplasty Simulation Training Virtual reality

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Area of Science:

Surgical Education
Medical Simulation
Orthopedic Surgery

Background:

Acquiring surgical skills for arthroplasty safely during training is challenging due to limited operative experience.
Virtual reality (VR) offers immersive simulation of complex open procedures, including total hip arthroplasty (THA).

Purpose of the Study:

To evaluate the effectiveness of VR training versus conventional preparation for developing THA surgical skills.
To compare the technical and non-technical performance of surgical trainees in performing THA.

Main Methods:

A randomized controlled trial involving 24 surgical trainees with no prior anterior approach THA experience.
One group (n=12) underwent a six-week VR training program; the control group (n=12) received conventional materials.
All participants performed a cadaveric THA, assessed by independent hip surgeons using a procedure-based assessment (PBA) and checklist.

Main Results:

VR-trained surgeons achieved a higher PBA level (Level 3a vs. 2a), indicating greater independence.
VR trainees completed 33% more key steps, demonstrated 12° greater accuracy in component orientation, and were 18% faster.
VR training significantly enhanced procedural knowledge and psychomotor skills transfer to cadaveric performance.

Conclusions:

VR training effectively enhances surgical trainees' learning curve for THA, improving precision and efficiency.
VR simulation can augment traditional surgical education for complex open procedures.
Conventional preparatory materials showed limited value in teaching new surgical techniques.