Virtual reality-based simulation improves rotator cuff repair skill: A randomized transfer validity study.

Area of Science:

• Orthopedic Surgery
• Surgical Simulation
• Medical Education Technology

Background:

• Virtual reality (VR) simulators show promise for basic surgical skills training.
• Validation is needed for complex, sequential procedures like arthroscopic rotator cuff repair.
• This study investigated VR's efficacy in enhancing arthroscopic cuff repair skills.

Purpose of the Study:

• To evaluate the impact of a VR-based training program on arthroscopic rotator cuff repair skills.
• To compare the performance of residents trained with VR versus standard methods on realistic models.

Main Methods:

• Prospective, randomized, multicenter study with 30 orthopedic surgery residents.
• Participants were divided into VR training (VR+) and no VR training (VR-) groups.
• The VR+ group received 6 months of monthly VR rotator cuff repair training; all performed a benchtop repair, assessed by blinded experts using the ASSET score.

Main Results:

• The VR+ group achieved significantly higher global ASSET scores (34.4 vs. 30.5, p=0.046).
• The VR+ group completed the arthroscopic rotator cuff repair procedure faster (27.3 min vs. 31.7 min, p=0.003).
• Nonspecific arthroscopic skills were also enhanced in the VR+ group.

Conclusions:

• A 6-month monthly VR training program surpasses standard peer training for mastering complex rotator cuff repair.
• VR simulation effectively improves both specific procedural skills and general arthroscopic proficiency.
• VR training offers a valuable adjunct for surgical education in complex procedures.