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Virtual and augmented reality for surgical training and simulation in knee arthroplasty
Graham S Goh1, Ryan Lohre2, Javad Parvizi1
1Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Archives of Orthopaedic and Trauma Surgery
|July 15, 2021
Summary
Extended reality (XR) technologies enhance knee arthroplasty by improving surgical planning and training. Immersive virtual reality (IVR) simulators show promise for efficient skill acquisition in orthopedic surgery.
Area of Science:
- Orthopaedic Surgery
- Medical Technology
- Surgical Simulation
Background:
- Extended reality (XR) technologies, including immersive virtual reality (IVR), augmented reality (AR), and mixed reality (MR), are increasingly adopted in orthopaedics.
- This review focuses on the application of XR technologies within knee arthroplasty procedures.
Purpose of the Study:
- To review the current applications of XR technologies in knee arthroplasty.
- To explore the role of XR in preoperative planning and intraoperative navigation.
- To demonstrate the utility of an IVR simulator for surgical training in knee arthroplasty.
Main Methods:
- Comprehensive literature review of XR applications in orthopaedic surgery, specifically knee arthroplasty.
- Analysis of existing studies on preoperative planning and intraoperative navigation using XR.
- Presentation of a novel IVR simulator workflow for surgical training.
Main Results:
- XR technologies facilitate real-time visualization of patient-specific anatomy, improving preoperative planning and intraoperative guidance.
- Immersive virtual reality (IVR) demonstrates potential to revolutionize surgical training and optimize performance.
- Evidence suggests favorable immediate skill acquisition and transfer with IVR technology.
Conclusions:
- XR technologies offer diverse potential applications in orthopaedic surgery, particularly in knee arthroplasty.
- Further research is required to ascertain the cost-effectiveness of integrating XR into surgical training programs.

