Development and Validation of a Virtual Reality Haptic Femoral Nailing Simulator

Racy, Malek; Barrow, Alastair; Tomlinson, James; Bello, Fernando

doi:10.1016/j.jsurg.2020.10.004

Cited by 18 publications

(14 citation statements)

References 25 publications

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“…Gmeiner et al [142] used two Geomagic Touch haptic devices with custom clipping forceps for aneurysm clipping simulation. Racy et al [143] developed a femoral nailing simulator using an Entact W5D haptic device with a custom 3D-printed drill handle. They also included intraoperative fluoroscopy in their simulation environment by using gVirtualX-ray library.…”

Section: E Haptic Feedbackmentioning

confidence: 99%

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Toward a Digital Twin for Arthroscopic Knee Surgery: A Systematic Review

et al. 2022

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The use of digital twins to represent a product or process digitally is trending in many engineering disciplines. This term has also been recently introduced in the medical field. In arthroscopic surgery education, the paradigm shift from apprenticeship to simulation training has driven the need for better simulators, and the current focus is on improving simulators with respect to computational efficiency and system accuracy. However, expanding surgical simulations towards digital twins has not yet been explored. This paper introduces the digital twin concept for arthroscopic surgery, and explores its potential in light of the existing scientific literature. Thus, a systematic review was conducted to summarize and analyze the literature with respect to fast and robust design of an arthroscopic digital twin using patientspecific information, and methods for interactive surgical soft tissue simulation. The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol with three reliable scientific search engines: IEEE Explore, ScienceDirect and PubMed. Eighty papers were included in the review, and the extracted data included modeling methods, tissue types, constitutive behavior, computational efficiency or accuracy, hardware configuration, haptic device description, software tools, and system architectures. Considering the review, a novel macro-level conceptual arthroscopic digital twin system is presented, and the applicability of the review findings for the identified subsystems are discussed. The proposed system integrates patient-specific images, diagnostic data, intraoperative sensor data, and surgical practice as inputs, and conceptually enables surgical skills training, preoperative planning, and a database of virtual surgeries.

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Section: E Haptic Feedbackmentioning

confidence: 99%

“…A third framework, OpenHaptics, has also been frequently reported in combination with Geomagic haptic devices [108], [109], [145], [148]. Other reported frameworks include Toia plugin with Unreal Engine [143], Bullet [142], and VEGA [121].…”

Section: F System Architectures and Existing Frameworkmentioning

confidence: 99%

Toward a Digital Twin for Arthroscopic Knee Surgery: A Systematic Review

et al. 2022

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“…In the first type, VR is used as an alternate teaching device in orthopaedic surgery, with higher efficacy indicated by improved surgical skills and reduction of surgical complications [21][22][23]. The second form occurs as VR is used as an appraisal instrument to predict and quantify the abilities of residents [24][25][26].…”

Section: A Effectiveness Of Vr In Orthopaedic Trainingmentioning

confidence: 99%

“…VR-based training is utilized in two different ways in orthopaedic surgery. First, to improve comprehension and technical performance of the trainee in comparison to traditional methods [21][22][23], and second, to appraise surgical skills of trained orthopaedic surgeons [24][25][26]. Understanding the critical success factors (CSFs) behind these reports could highlight a research opportunity to further improve the system, particularly at the integration stage of each individual system, into the curriculum of surgeon training.…”

Section: Introductionmentioning

confidence: 99%

Critical Success Factors for Virtual Reality Applications in Orthopaedic Surgical Training: A Systematic Literature Review

2021

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There is an increasing amount of pressure to improve the cost-effectiveness of orthopaedic training, both temporally and financially. Accordingly, virtual reality (VR) has been incorporated into a number of surgical training programs, providing trainees a safe yet realistic environment to practice their craft before going into the operating room. Identification of critical success factors (CSFs) for VR integration in the orthopaedic training program can be beneficial in guiding the focus of healthcare providers and VR designers during the VR platform development stage. The aim of this study is to identify VR-based training CSFs that encourage orthopaedic surgeons to use VR as a method for acquiring, maintaining, and improving skills. A total of 74 studies conducted between 2011 and 2021 were selected and examined. There were 73 CSFs listed as being essential for VR adoption in orthopaedic surgical training. The CSFs were divided into six general categories: HCI/VR Features, Learning Outcome, Usability, Control and Active Learning, Student and Limitation factors. Subsequently, recommendations were made to guide healthcare professionals, researchers, and designers for optimal adoption of VR in orthopaedic surgical training in the future.

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“…Existing studies assessing the impact of haptics in VR training to date are of poor quality, limited by significant bias risk and confounding factors [ 16 ]. Recently published small studies assessing haptics in VR bone drilling tasks have reported potential benefits, but have suffered from significant methodological limitations, small sample sizes (n < 10) and the lack of validated skills assessment [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%