Outcomes in virtual reality knee arthroscopy for residents and attending surgeons / Claudia Arroyo‑Berezowsky, Armando Torres‑Gómez, Ranulfo Romo‑Rodríguez, José O. Ruiz‑Speare.

Objectives: Arthroscopic surgery is one of the most common procedures in orthopedic surgery. It is prone to simulation training, which has consistently shown improvement in the trainees' motor skills. The objective of this study was to compare the differences in absolute values for virtual reality diagnostic knee arthroscopy with and without a probe for residents and attending surgeons at our hospital. Moreover, quantify the difference in results between an initial and final assessment for all participants. Methods: Eighteen residents and twenty attending orthopedic surgeons completed a sequence of exercises that included a diagnostic knee arthroscopy with and without a probe on the ARTHRO Mentor™ virtual reality simulator. The variables analyzed were as follows: time to complete the task, distance traveled by the arthroscope and the probe, arthroscope and probe roughness, and overall task score. We compared residents' scores with attending surgeons' scores and quantified the difference in all participants' results for the initial and final assessment. Results: There was no statistically significant difference in results between residents and attending surgeons. There was a statistically significant improvement in some variables for the knee diagnostic arthroscopy without a probe for all participants in the final assessment. Conclusions: There were no differences between attending surgeons and residents in the virtual reality knee diagnostic arthroscopy with and without a probe. There was an improvement in some variables for the knee diagnostic arthroscopy without a probe for all the participants. With constant training, anyone can improve their simulation motor skills. External validation studies are necessary.
Keywords: Arthroscopy; resident; simulator; teaching; virtual reality.

Arroyo-Berezowsky C, Torres-Gómez A, Romo-Rodríguez R, Ruiz-Speare JO. Outcomes in virtual reality knee arthroscopy for residents and attending surgeons. Journal of Musculoskeletal Surgery and Research.2019;3(2):189-195. Disponible en: https://journalmsr.com/view-pdf/?article=3b76c995ac0088b51896e4e750035436Ofkaq1FjBfo=