Evidence map›Paper›PMID 31989245›Full record

ArticleArchives of orthopaedic and trauma surgery2020

The learning curves of a validated virtual reality hip arthroscopy simulator.

Jonathan D Bartlett, John E Lawrence, Matthew Yan, Borna Guevel, Max E Stewart, Emmanuel Audenaert, Vikas Khanduja

Open access · hybridAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Obesity is associated with less favorable outcomes following hip arthroscopic surgery: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Pooled it
  2. Trial
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  4. Article
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  7. Simulation-based learning in orthopaedics:Journal of clinical orthopaedics and trauma · 2025
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  8. Review
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  14. The Diagnostic Arthroscopy Skill Score (DASS): a reliable and suitable assessment tool for arthroscopic skill training.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Jonathan D BartlettSchool of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
John E LawrenceYoung Adult Hip Service, Department of Trauma and Orthopaedics, Addenbrooke's, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Box 37, Hills Road, Cambridge, CB2 0QQ, UK.
Matthew YanSchool of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
Borna GuevelYoung Adult Hip Service, Department of Trauma and Orthopaedics, Addenbrooke's, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Box 37, Hills Road, Cambridge, CB2 0QQ, UK.
Max E StewartSchool of Clinical Medicine, Addenbrooke's Hospital, Cambridge, UK.
Emmanuel AudenaertDepartment of Trauma and Orthopaedics, Ghent University, Ghent, Belgium.
Vikas KhandujaYoung Adult Hip Service, Department of Trauma and Orthopaedics, Addenbrooke's, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Box 37, Hills Road, Cambridge, CB2 0QQ, UK. vk279@cam.ac.uk.ORCID http://orcid.org/0000-0001-9454-3978
Addenbrooke's Hospital · GBCambridge University Hospitals NHS Foundation Trust · GBGhent University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDecreases in trainees' working hours, coupled with evidence of worse outcomes when hip arthroscopies are performed by inexperienced surgeons, mandate an additional means of training. Though virtual reality simulation has been adopted by other surgical specialities, its slow uptake in arthroscopic training is due to a lack of evidence as to its benefits. These benefits can be demonstrated through learning curves associated with simulator training-with practice reflecting increases in validated performance metrics.

methodsTwenty-five medical students with no previous experience of hip arthroscopy completed seven weekly simulated arthroscopies of a healthy virtual hip joint using a 70° arthroscope in the supine position. Twelve targets were visualised within the central compartment, six via the anterior portal, three via the anterolateral portal and three via the posterolateral portal. Task duration, number of collisions (bone and soft-tissue), and distance travelled by arthroscope were measured by the simulator for every session of each student.

resultsLearning curves were demonstrated by the students, with improvements in time taken, number of collisions (bone and soft-tissue), collision length and efficiency of movement (all p < 0.01). Improvements in time taken, efficiency of movement and number of collisions with soft-tissue were first seen in session 3 and improvements in all other parameters were seen in session 4. No differences were found after session 5 for time taken and length of soft-tissue collision. No differences in number of collisions (bone and soft-tissue), length of collisions with bone, and efficiency of movement were found after session 6.

conclusionsThe results of this study demonstrate learning curves for a hip arthroscopy simulator, with significant improvements seen after three sessions. All performance metrics were found to improved, demonstrating sufficient visuo-haptic consistency within the virtual environment, enabling individuals to develop basic arthroscopic skills.

Indexed as

Learning CurveVirtual RealityArthroscopyClinical CompetenceHip JointHumansSimulation TrainingStudents, MedicalSurgeonsArthroscopeHip arthroscopyLearning curveScope manipulationSimulatorTraining effectVirtual reality

Identifiers

PMID31989245
PMCPMC7244605
OpenAlexW3001780812

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.