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Hip Arthroscopy Simulator Training With Immersive Virtual Reality Has Similar Effectiveness to Nonimmersive Virtual
Omar F Rahman1, Kyle N Kunze2, Kaisen Yao3
1Cedars-Sinai Kerlan-Jobe Institute, Los Angeles, California, U.S.A.; Department of Orthopaedics, Lenox Hill Hospital-Northwell Health, New York, New York, U.S.A..
Summary
Immersive virtual reality (iVR) hip arthroscopy training showed similar skill acquisition to non-immersive virtual reality (non-iVR) but at a significantly higher cost. iVR training offers comparable effectiveness and may be a beneficial, affordable option for future hip arthroscopy education.
Area of Science:
- Orthopaedic Surgery
- Medical Simulation
- Virtual Reality in Medicine
Background:
- Hip arthroscopy is a complex procedure requiring specialized surgical skills.
- Virtual reality (VR) simulators offer a safe and controlled environment for surgical training.
- Comparing immersive VR (iVR) and non-immersive VR (non-iVR) platforms is crucial for optimizing training efficacy and cost-effectiveness.
Purpose of the Study:
- To compare the efficacy of iVR versus non-iVR training in hip arthroscopy for procedural and knowledge-based skills.
- To evaluate the relative cost-effectiveness of iVR and non-iVR hip arthroscopy simulators.
Main Methods:
- Orthopaedic surgery residents were randomized to iVR or non-iVR hip arthroscopy simulator training.
- Post-training performance was assessed on cadavers using Objective Structured Assessment of Technical Skills (OSATS) and Arthroscopic Surgery Skill Evaluation Tool (ASSET) scores.
- A cost analysis compared the financial implications of both VR training platforms.
Main Results:
- No significant differences in OSATS or ASSET scores were found between the iVR and non-iVR training groups.
- The immersive VR platform demonstrated a 132-fold higher cost compared to the non-immersive VR simulator.
- The transfer effectiveness ratio (TER) was comparable between the two simulation modalities.
Conclusions:
- Hip arthroscopy simulation training using iVR yields comparable technical skill and knowledge acquisition to non-iVR.
- Despite similar effectiveness, iVR training presents a substantial cost disadvantage.
- iVR training's accessibility, effectiveness, and potential affordability make it a promising tool for future hip arthroscopy education.

