Imperial College London
Alternate

ProfessorJustinCobb

Faculty of Medicine, Department of Surgery & Cancer

Chair in Orthopaedic Surgery
 
 
 
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Contact

 

+44 (0)20 7594 5534j.cobb Website

 
 
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Assistant

 

Miss Colinette Hazel +44 (0)20 7594 2725

 
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Location

 

c/oSir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Edwards:2021:10.1007/s00402-021-04050-4,
author = {Edwards, TC and Patel, A and Szyszka, B and Coombs, AW and Liddle, AD and Kucheria, R and Cobb, JP and Logishetty, K},
doi = {10.1007/s00402-021-04050-4},
journal = {Archives of Orthopaedic and Trauma Surgery},
title = {Immersive virtual reality enables technical skill acquisition for scrub nurses in complex revision total knee arthroplasty.},
url = {http://dx.doi.org/10.1007/s00402-021-04050-4},
volume = {141},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - INTRODUCTION: Immersive 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 METHODS: Ten 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. RESULTS: Operative 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 r
AU  - Edwards,TC
AU  - Patel,A
AU  - Szyszka,B
AU  - Coombs,AW
AU  - Liddle,AD
AU  - Kucheria,R
AU  - Cobb,JP
AU  - Logishetty,K
DO  - 10.1007/s00402-021-04050-4
PY  - 2021///
SN  - 0344-8444
TI  - Immersive virtual reality enables technical skill acquisition for scrub nurses in complex revision total knee arthroplasty.
T2  - Archives of Orthopaedic and Trauma Surgery
UR  - http://dx.doi.org/10.1007/s00402-021-04050-4
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34319473
UR  - https://link.springer.com/article/10.1007%2Fs00402-021-04050-4
UR  - http://hdl.handle.net/10044/1/91062
VL  - 141
ER  -
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