ArticleArchives of orthopaedic and trauma surgery2021
Immersive virtual reality enables technical skill acquisition for scrub nurses in complex revision total knee arthroplasty.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Virtual and augmented reality for anxiety reduction in orthopedic patients and providers: a systematic review.Journal of orthopaedic surgery and research · 2025Pooled it
- Structured Clinical Supervision in Perioperative Nursing: A Systematic Review of Its Impact on Professional Development and Patient Safety.Nursing reports (Pavia, Italy) · 2026Review
- Use of extended reality, virtual reality, augmented reality and mixed reality in clinical practice, education and research in knee arthroplasty: A scoping review.Journal of experimental orthopaedics · 2026Article
- Augmented and virtual reality in surgical practice: a review of applications in visualization, training, and future directions.Journal of robotic surgery · 2026Review
- Role of eXtended Reality use in medical imaging interpretation for pre-surgical planning and intraoperative augmentation.Journal of medical imaging (Bellingham, Wash.) · 2024Review
- Surgical Multidisciplinary Team Meetings Are Enhanced by Collaboration in the Metaverse.Journal of medical extended reality · 2024Article
- Enhanced walking function and quality of life in unicondylar knee replacement patients through continuous nursing intervention: A clinical study.Journal of back and musculoskeletal rehabilitation · 2024Article
- Causes and associations with mortality in patients with pelvic ring injuries with haemorrhagic shock.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Observational
- Integration of Square Fiducial Markers in Patient-Specific Instrumentation and Their Applicability in Knee Surgery.Journal of personalized medicine · 2023Article
- Leading Transformation in Medical Education Through Extended Reality.Advances in experimental medicine and biology · 2023Article
- Systematic Bibliometric Analysis of Research Hotspots and Trends on the Application of Virtual Reality in Nursing.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionImmersive Virtual Reality (iVR) is a novel technology which can enhance surgical training in a virtual environment without supervision. However, it is untested for the training to select, assemble and deliver instrumentation in orthopaedic surgery-typically performed by scrub nurses. This study investigates the impact of an iVR curriculum on this facet of the technically demanding revision total knee arthroplasty. MATERIALS AND
methodsTen scrub nurses completed training in four iVR sessions over a 4-week period. Initially, nurses completed a baseline real-world assessment, performing their role with real equipment in a simulated operation assessment. Each subsequent iVR session involved a guided mode, where the software taught participants the procedural choreography and assembly of instrumentation in a simulated operating room. In the latter three sessions, nurses also undertook an assessment in iVR. Outcome measures were related to procedural sequence, duration of surgery and efficiency of movement. Transfer of skills from iVR to the real world was assessed in a post-training simulated operation assessment. A pre- and post-training questionnaire assessed the participants knowledge, confidence and anxiety.
resultsOperative time reduced by an average of 47% across the 3 unguided sessions (mean 55.5 ± 17.6 min to 29.3 ± 12.1 min, p > 0.001). Assistive prompts reduced by 75% (34.1 ± 16.8 to 8.6 ± 8.8, p < 0.001), dominant hand motion by 28% (881.3 ± 178.5 m to 643.3 ± 119.8 m, p < 0.001) and head motion by 36% (459.9 ± 99.7 m to 292.6 ± 85.3 m, p < 0.001). Real-world skill improved from 11% prior to iVR training to 84% correct post-training. Participants reported increased confidence and reduced anxiety in scrubbing for rTKA procedures (p < 0.001).
conclusionsFor scrub nurses, unfamiliarity with complex surgical procedures or equipment is common. Immersive VR training improved their understanding, technical skills and efficiency. These iVR-learnt skills transferred into the real world.
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