A Virtual Reality System to Train Image Guided Placement of Kirschner-Wires for Distal Radius Fractures

Seah, Tian En Timothy; Barrow, Alastair; Baskaradas, Aroon; Gupte, Chinmay; Bello, Fernando

doi:10.1007/978-3-319-12057-7_3

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…Finally, 31 papers and 4 products were selected for this review, chosen by the degree to which the surgical target was related to plastic surgery. Table 1 shows the categorized search results relating to the surgical applications of VR/AR [ 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 ]. Considering the main concerns and interests in VR/AR-based surgery, we classified the selected studies and products into 3 groups according to the clinical application: surgical planning (patient-specific simulations), surgical navigation, and surgical training.…”

Section: Resultsmentioning

confidence: 99%

“…For orthopedic fracture reduction surgery, there are wire training simulators using VR. Seah et al [ 28 ] used the haptic device and the 3D bone mesh model for training in positioning Kirschner wires in distal radius fracture reduction surgery. Moreover, Thomas et al [ 29 ] proposed a mixed reality-based wire navigation simulator that was composed of a real drill, plastic bone model, and a 3D bone model.…”

Section: Resultsmentioning

confidence: 99%

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Virtual Reality and Augmented Reality in Plastic Surgery: A Review

2017

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Recently, virtual reality (VR) and augmented reality (AR) have received increasing attention, with the development of VR/AR devices such as head-mounted displays, haptic devices, and AR glasses. Medicine is considered to be one of the most effective applications of VR/AR. In this article, we describe a systematic literature review conducted to investigate the state-of-the-art VR/AR technology relevant to plastic surgery. The 35 studies that were ultimately selected were categorized into 3 representative topics: VR/AR-based preoperative planning, navigation, and training. In addition, future trends of VR/AR technology associated with plastic surgery and related fields are discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Virtual Reality and Augmented Reality in Plastic Surgery: A Review

2017

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“…[ 25 26 ] Described technology was also used in hip fracture reduction surgery,[ 27 ] femur fracture reduction surgery planning,[ 28 ] orthopaedic fracture reduction surgery,[ 29 ] orthopaedic burring simulation,[ 30 ] and spinal fixation simulation. [ 34 ] In all cases, preoperative planning was done in real-time mode by virtual interaction of the operator through a haptic device and 3D eyewear with computer software.…”

Section: Discussionmentioning

confidence: 99%

“…These approaches were used for training in orthognathic surgery. [ 32 33 ] AR/VR surgical training was also used in different surgical specialties such as training in orthopaedic surgery[ 34 , 35 ] and in the field of neurosurgery. [ 36 ]…”

Section: Discussionmentioning

confidence: 99%

Mixed reality in the reconstruction of orbital floor: An experimental and clinical evaluative study

Rahimov

Aliyev²,

Rahimov

et al. 2022

Ann Maxillofac Surg

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Introduction: Orbital floor fractures are common within midface fractures. Their management includes restoration of orbital volume and anatomy. However, these procedures could be associated with the mispositioning of implants and inadequate volume restoration. Nowadays medical rapid prototyping, virtual planning (VP), and navigation systems significantly increase the precision of such procedures. Nevertheless, the application of intraoperative navigation could be associated with intraoperative mistakes related to two-dimensional imaging. The application of mixed reality (MR) could solve this problem. The current study aims to demonstrate the application of MR in orbital reconstruction. Materials and Methods: The current study included experimental and clinical implementation of MR in orbital reconstruction. Within the experimental part, 10 residents and 5 experienced maxillofacial surgeons were added. All data and customised software were well documented and then used in a single clinical case of orbital floor reconstruction. Results: Visual assessment of plate positioning within the experiment revealed proper plate positioning in 8 cases. A comparison of virtual and real measurements showed a stable deviation of 0.65–1.15 (mean 0.9 mm). As a result of the clinical implementation of MR technology, after surgical reconstruction, the patient showed improvement in ocular mobility and reduction of diplopia. A postoperative computed tomography scan showed proper plate positioning. Discussion: Implementation of MR based on VP could significantly improve the results of preoperative planning, intraoperative navigation, and surgery. However, existing technical limitations that relate to navigation principles could produce mistakes and errors. Therefore, further investigations related to the 6 degrees of freedom problem solution are considered reasonable in the elimination of listed issues.

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“…The use of simulators with haptic feedback allows us to reproduce realistic sensations [20][21][22][23][24]. These kind of systems can be extended to other long bones that could require a firm fixation, e.g., tibia or radius [25][26][27].…”

Section: Previous Workmentioning

confidence: 99%

A virtual reality simulator for training the surgical reduction of patient-specific supracondylar humerus fractures

et al. 2021

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Purpose Virtual reality has been used as a training platform in medicine, allowing the repetition of a situation/scenario as many times as needed and making it patient-specific prior to an operation. Of special interest is the minimally invasive plate osteosynthesis (MIPO). It represents a novel technique for orthopedic trauma surgery, but requires intensive training to acquire the required skills. In this paper, we propose a virtual reality platform for training the surgical reduction of supracondylar fractures of the humerus using MIPO. The system presents a detailed surgical theater where the surgeon has to place the bone fragments properly. Methods Seven experienced users were selected to perform a surgical reduction using our proposal. Two paired humeri were scanned from a dataset obtained from the Complejo Hospitalario de Jaén. A virtual fracture was performed in one side of the pair, using the other as contralateral part. Users have to simulate a reduction for each case and fill out a survey about usability, using a five-option Likert scale. Results The subjects have obtained excellent scores in both simulations. The users have notably reduced the time employed in the second experiment, being 60% less in average. Subjects have valued the usability (5.0), the intuitiveness (4.6), comfort (4.5), and realism (4.9) in a 1–5 Likert scale. The mean score of the usability survey was 4.66. Conclusion The system has shown a high learning rate, and it is expected that the trainees will reach an expert level after additional runs. By focusing on the movement of bone fragments, specialists acquire motor skills to avoid the malrotation of MIPO-treated fractures. A future study can fulfill the requirements needed to include this training system into the protocol of real surgeries. Therefore, we expect the system to increase the confidence of the trainees as well as to improve their decision making.

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A Virtual Reality System to Train Image Guided Placement of Kirschner-Wires for Distal Radius Fractures

Cited by 8 publications

References 8 publications

Virtual Reality and Augmented Reality in Plastic Surgery: A Review

Virtual Reality and Augmented Reality in Plastic Surgery: A Review

Mixed reality in the reconstruction of orbital floor: An experimental and clinical evaluative study

A virtual reality simulator for training the surgical reduction of patient-specific supracondylar humerus fractures

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