Application of virtual reality technology in standardized training of orthopedic resident

doi:10.3760/cma.j.cn115259-20191216-01087

Abstract

Abstract: Virtual reality is a rapidly developing technology characterized by immersive interaction that allows users to explore and manipulate computer-simulated three-dimensional environments. Its application in standardized training of orthopedist has been quite extensive, covering surgical simulation, arthroscopic simulation, surgical approach design and so on. Nowadays, its derivative technologies mainly included augmented reality and mixed reality technologies, which showed great prospects in the application of standardized training of orthopedist. This paper briefly summarized the application of virtual reality augmented reality and mixed reality in standardized training of orthopedist.

Key words: Virtual reality, Orthopedic, Standardized training for residents, Augmented reality, Mixed reality

CLC Number:

R0
R-05

Wang Zhongzhao, Sun Jingchuan, Wang Yuan, Sun Kaiqiang, Zhu Jian, Guo Yongfei, Shi Jian'gang, Xu Ximing. Application of virtual reality technology in standardized training of orthopedic resident[J]. Chinese Journal of Medical Education, 2020, 40(7): 557-560.

References

[1] 李秋燕, 肖龙华, 刘华林, 等. 对当前住院医师规范化培训的问题分析与思考[J]. 中国卫生事业管理, 2016(5):374-376.
[2] Zheng G, Nolte LP. Computer-assisted orthopedic surgery: current state and future perspective[J]. Front Surg, 2015, 2:66. DOI:10.3389/fsurg.2015.00066.
[3] 任鹏鹏,张启栋,王卫国.虚拟现实技术在骨科领域的研究进展[J].中国矫形外科杂志,2018,26(21):1980-1983.
[4] Akhtar K, Sugand K, Sperrin M, et al. Training safer orthopedic surgeons construct validation of a virtual-reality simulator for hip fracture surgery[J]. Acta Orthopaedica, 2015, 86(5):616-621.DOI:10.3109/17453674.2015.1041083.
[5] Rahm S, Wieser K, Wicki I, et al. Performance of medical students on a virtual reality simulator for knee arthroscopy: an analysis of learning curves and predictors of performance[J]. BMC Surg, 2016,16:14.DOI: 10.1186/s12893-016-0129-2.
[6] Yoo JS, Patel DS, Hrynewycz NM, et al. The utility of virtual reality and augmented reality in spine surgery[J]. Ann Transl Med,2019,7(Suppl 5):S171. DOI: 10.21037/atm.2019.06.38.
[7] Condino S, Turini G, Parchi PD, et al. How to build a patient-specific hybrid simulator for orthopaedic open surgery: benefits and limits of mixed-reality using the Microsoft HoloLens[J].J Healthc Eng, 2018,2018:5435097. DOI:10.1155/2018/5435097.
[8] 蔡苏, 王沛文, 杨阳, 等. 增强现实(AR)技术的教育应用综述[J]. 远程教育杂志, 2016, 34(5):27-40.
[9] Chytas D, Malahias MA, Nikolaou VS. Augmented reality in orthopedics: current state and future directions [J]. Front Surgery,2019,6:38. DOI: 10.3389/fsurg.2019.00038.
[10] Van Duren BH, Sugand K, Wescott R, et al. Augmented reality fluoroscopy simulation of the guide-wire insertion in DHS surgery: a proof of concept study[J]. Med Eng Phys, 2018, 55:52-59. DOI: 10.1016/j.medengphy.2018.02.007.
[11] Logishetty K, Western L, Morgan R, et al. Can an augmented reality headset improve accuracy of acetabular cup orientation in simulated THA? a randomized trial[J]. Clin Orthop Relat Res, 2018,477(5):1190-1199. DOI: 10.1097/CORR.0000000000000542.
[12] Elmi-Terander A, Nachabe R, Skulason H, et al. Feasibility and accuracy of thoracolumbar minimally invasive pedicle screw placement with augmented reality navigation technology[J]. Spine, 2017, 43(14):1018-1023. DOI: 10.1097/BRS.0000000000002502.
[13] Kosterhon M, Gutenberg A, Kantelhardt SR, et al. Navigation and image injection for control of bone removal and osteotomy planes in spine surgery[J]. Oper Neurosurg, 2017, 13(2):297-304.DOI: 10.1093/ons/opw017.
[14] Chytas D, Malahias MA, Nikolaou VS. Augmented reality in orthopedics: current state and future directions[J].Front Surg, 2019, 6:38. DOI: 10.3389/fsurg.2019.00038.
[15] 叶哲伟,吴星火.混合现实技术在骨科的最新应用进展[J].临床外科杂志,2018,26(1):13-14. DOI:10.3969/j.issn.1005-6483.2018.01.004.
[16] Verhey, JT, Haglin, JM, Verhey, EM, et al.Virtual, augmented, and mixed reality applications in orthopedic surgery[J]. Int J Med Robot, 2020,6(2):e2067. DOI: 10.1002/rcs.2067.
[17] 马小军,林艳萍,黄亚磊, 等.混合现实技术对脊柱经皮后突成形术的探索与应用[J].上海交通大学学报(医学版),2019,39(6):636-641. DOI:10.3969/j.issn.1674-8115.2019.06.012.
[18] Wu X,Liu R, Yu J, et al. Mixed reality technology launches in orthopedic surgery for comprehensive preoperative management of complicated cervical fractures[J].Surg Innov, 2018, 25(4):421-422.DOI: 10.1177/1553350618761758.
[19] Stefan P, Habert S, Winkler A, et al. A radiation-free mixed-reality training environment and assessment concept for C-arm-based surgery[J].Int J Comput Assist Radiol Surg, 2018, 13(9):1335-1344. DOI: 10.1007/s11548-018-1807-6.
[20] Condino S, Turini G, Parchi PD, et al. How to build a patient-specific hybrid simulator for orthopaedic open surgery: benefits and limits of mixed-reality using the Microsoft HoloLens[J].J Healthc Eng, 2018,2018:5435097. DOI: 10.1155/2018/5435097.
[21] Singh P, Madanipour S, Fontalis A, et al. A systematic review and meta-analysis of trainee- versus consultant surgeon-performed elective total hip arthroplasty[J]. EFORT Open Rev, 2019,4(2):44-55. DOI: 10.1302/2058-5241.4.180034.
[22] Kononowicz AA, Woodham LA, Edelbring S, et al. Virtual patient simulations in health professions education: systematic review and meta-analysis by the digital health education collaboration[J]. J Med Internet Res,2019, 21(7): e14676. DOI:10.2196/14676.