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

Nicolas Vallée1, Alexandre Tronchot1, Tiphaine Casy2

  • 1Univ. Rennes, Inserm, LTSI - UMR 1099, F-35000 Rennes, France; Orthopaedics and Trauma Department, Rennes University Hospital, 2 rue Henri Le Guilloux, 35000, Rennes, France.

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Summary
This summary is machine-generated.

Virtual reality (VR) training significantly improved arthroscopic rotator cuff repair skills in orthopedic residents. The VR group demonstrated higher surgical performance scores and faster procedure times compared to traditional training.

Keywords:
ArthroscopyPedagogyShoulderSimulationVirtual reality

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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.