Virtual Reality Simulation for Orthopedic Surgical Training: A Narrative Review of Current Evidence and Educational Impact.

Virtual reality (VR) simulation represents a significant advancement in orthopedic surgical training, offering a powerful supplement to traditional educational paradigms. This review highlights robust evidence demonstrating that VR is an excellent educational tool, capable of bridging the gaps left by reduced work hours and ethical considerations associated with traditional clinical training. A recent meta-analysis confirms that VR interventions significantly improve trainees' knowledge scores, clinical operation scores, and surgical design capabilities compared to conventional methods. This enhanced level of competency, dexterity, and spatial awareness is evident across diverse applications, including arthroscopy, total hip replacement planning, and trauma fixation. VR's ability to provide a safe, repeatable, and accessible learning environment facilitates skill acquisition that has shown transferability to the operating room. Despite these benefits, challenges remain, including technical limitations like system latency, difficulties with depth awareness, and the potential for cognitive overload or inattentional blindness. Crucially, many existing orthopedic trauma simulators require rigorous validation of their concurrent and transfer validity to ensure they meet the standards of established training models. Future advancements are expected to integrate biomechanical analysis for fracture repair and artificial intelligence to enhance intraoperative decision-making. As these technologies mature and undergo validation according to standardized guidelines, VR is poised to become an indispensable component of orthopedic education, improving surgical accuracy and patient outcomes.