Evaluation of a New Virtual Reality Concept Teaching K-Wire Drilling With Force Feedback Simulated Haptic in Orthopedic Skills Training

Huber, Michaela; Katzky, Uwe; Müller, Karolina; Blätzinger, Markus; Goetz, Wolfgang A.; Grechenig, Peter; Popp, Daniel; Angerpointner, Katharina

doi:10.1016/j.jhsa.2021.09.008

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…The remaining studies utilized quasi-experimental methodologies (7 studies, 13.73%). Notably, our review found 17 RCTs 38,41,49,50,54,55,58,65,67–69,77,78,81–84 that were not included in the previous review, 11 of which were published before 2019 38,41,49,50,54,55,58,65,67–69 and the rest being novel studies. 77,78,81–84…”

Section: Resultsmentioning

confidence: 97%

“…Notably, our review found 17 RCTs 38,41,49,50,54,55,58,65,[67][68][69]77,78,[81][82][83][84] that were not included in the previous review, 11 of which were published before 2019 38,41,49,50,54,55,58,65,[67][68][69] and the rest being novel studies. 77,78,[81][82][83][84] The most common population sampled were medical residents (14 studies), followed by novices (9 studies), physicians (8 studies), and medical students (7 studies). A minority of studies collected data from dentistry students (3 studies), and patients (2 studies).…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

“…The characteristics of haptics (eg, the sense that devices or simulators provided) were not elaborated on in twenty-four studies (n = 24). Among the studies that described these details, sense of collision or touch (n = 12), 39,40,51,52,[60][61][62]70,71,75,77,85 drilling (n = 7), 49,58,59,64,78,82,83 and force changes due to interactions with different tissue types (eg, skin, adipose tissue, vessels, n = 4) 50,68,69,74 were the replicated haptic interactions. In two studies (n = 2), 47,65 haptics were used to provide guidance to participants to operate the haptic robot within a predefined path.…”

Section: Relevant Results From Included Studiesmentioning

confidence: 99%

“…To replicate the multisensory nature of surgical practice, 61 in addition to haptic, reinforcement of visual information (eg, shadows of instruments, tissue deformation) was added to enhance realism (n = 19). 35,36,40,41,47,51,56,[59][60][61]64,65,67,70,71,73,77,78,86 Sound effects during collisions and drilling were also reported to enhance realism (n = 8). 49,60,71,[75][76][77]82,83 Studies Favoring Haptics (n = 34)…”

Section: Relevant Results From Included Studiesmentioning

confidence: 99%

“…Following abstract and full-text screening, 51 were included for data extraction and synthesis (Figure 1). 20,35–84…”

Section: Resultsmentioning

confidence: 99%

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Findings Favor Haptics Feedback in Virtual Simulation Surgical Education: An Updated Systematic and Scoping Review

Azher,

Mills,

et al. 2024

Surg Innov

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Background Virtual simulations (VSs) enhance clinical competencies and skills. However, a previous systematic review of 9 RCT studies highlighted a paucity of literature on the effects of haptic feedback in surgical VSs. An updated systematic and scoping review was conducted to encompass more studies and a broader range of study methodologies. Methods A systematic literature search was conducted on July 31, 2023, in MEDLINE, Embase, and Cochrane. English language studies comparing haptic vs non-haptic conditions and using VSs were included. Studies were evaluated and reported using PRISMA-ScR guidelines. Results Out of 2782 initial studies, 51 were included in the review. Most studies used RCT (21) or crossover (23) methodologies with medical residents, students, and attending physicians. Most used post-intervention metrics, while some used pre- and post-intervention metrics. Overall, 34 performance results from studies favored haptics, 3 favored non-haptics, and the rest showed mixed or equal results. Conclusion This updated review highlights the diverse application of haptic technology in surgical VSs. Haptics generally enhances performance, complements traditional teaching methods, and offers personalized learning with adequate simulator validation. However, a sparsity of orienting to the simulator, pre-/post-study designs, and small sample sizes poses concerns with the validity of the results. We underscore the urgent need for standardized protocols, large-scale studies, and nuanced understanding of haptic feedback integration. We also accentuate the significance of simulator validation, personalized learning potential, and the need for researcher, educator, and manufacturer collaboration. This review is a guidepost for navigating the complexities and advancements in haptic-enhanced surgical VSs.

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