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本文引用的文献

1
Virtual and augmented reality for surgical training and simulation in knee arthroplasty.虚拟现实和增强现实在膝关节置换手术培训和模拟中的应用。
Arch Orthop Trauma Surg. 2021 Dec;141(12):2303-2312. doi: 10.1007/s00402-021-04037-1. Epub 2021 Jul 15.
2
Effectiveness of Immersive Virtual Reality on Orthopedic Surgical Skills and Knowledge Acquisition Among Senior Surgical Residents: A Randomized Clinical Trial.沉浸式虚拟现实对高级外科住院医师骨科手术技能和知识获取的影响:一项随机临床试验。
JAMA Netw Open. 2020 Dec 1;3(12):e2031217. doi: 10.1001/jamanetworkopen.2020.31217.
3
Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients' Rehabilitation.虚拟现实、增强现实、游戏化与远程康复:对骨科患者康复的心理影响
J Clin Med. 2020 Aug 7;9(8):2567. doi: 10.3390/jcm9082567.
4
Virtual Reality and Augmented Reality-Translating Surgical Training into Surgical Technique.虚拟现实与增强现实——将外科培训转化为手术技术
Curr Rev Musculoskelet Med. 2020 Dec;13(6):663-674. doi: 10.1007/s12178-020-09667-3.
5
Factors affecting aseptic loosening in primary total knee replacements: an in vitro study.初次全膝关节置换中影响无菌性松动的因素:一项体外研究。
J Exp Orthop. 2020 Jun 5;7(1):41. doi: 10.1186/s40634-020-00243-9.
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Unicompartmental Knee Arthroplasty: US and Global Perspectives.单髁膝关节置换术:美国及全球视角
Orthop Clin North Am. 2020 Apr;51(2):147-159. doi: 10.1016/j.ocl.2019.11.010. Epub 2020 Jan 8.
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Fully Immersive Virtual Reality for Total Hip Arthroplasty: Objective Measurement of Skills and Transfer of Visuospatial Performance After a Competency-Based Simulation Curriculum.全沉浸式虚拟现实在全髋关节置换术中的应用:基于能力的模拟课程后技能的客观测量和空间视觉表现的转移。
J Bone Joint Surg Am. 2020 Mar 18;102(6):e27. doi: 10.2106/JBJS.19.00629.
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Technical Obstacles in Total Knee Arthroplasty Learning: A Steps Breakdown Evaluation.全膝关节置换术学习中的技术障碍:步骤分解评估
J Am Acad Orthop Surg Glob Res Rev. 2019 Jun 21;3(6):e062. doi: 10.5435/JAAOSGlobal-D-19-00062. eCollection 2019 Jun.
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Walking with head-mounted virtual and augmented reality devices: Effects on position control and gait biomechanics.头戴式虚拟现实和增强现实设备行走:对位置控制和步态生物力学的影响。
PLoS One. 2019 Dec 4;14(12):e0225972. doi: 10.1371/journal.pone.0225972. eCollection 2019.
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Augmented reality-based navigation system applied to tibial bone resection in total knee arthroplasty.基于增强现实的导航系统在全膝关节置换术中胫骨截骨的应用。
J Exp Orthop. 2019 Nov 11;6(1):44. doi: 10.1186/s40634-019-0212-6.

使用虚拟现实和增强现实技术进行膝关节置换手术培训与模拟

Surgery Training and Simulation Using Virtual and Augmented Reality for Knee Arthroplasty.

作者信息

Mandal Pooja, Ambade Ratnakar

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Sep 6;14(9):e28823. doi: 10.7759/cureus.28823. eCollection 2022 Sep.

DOI:10.7759/cureus.28823
PMID:36225417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9535617/
Abstract

A range of extended reality technology integration, including immersive virtual reality (IVR), augmented reality (AR), as well as mixed reality, has lately acquired favour in orthopaedics. The utilization of extended reality machinery in knee arthroplasty is examined in this review study. Virtual reality (VR) and AR are usually exercised together in orthopaedic surgical training as alluring training outside of the operation theatre is acknowledged as a good surgical training tool. The use of this technology, its consequences for orthopaedic surgeons and their patients, and its moral and practical issues are also covered. Head-mounted displays (HMDs) are a potential addition directed toward improving surgical precision along with instruction. Although the hardware is cutting-edge, substantial effort needs to be done to develop software that enables seamless, trustworthy integration into clinical practice and training. Remote virtual rehabilitation has drawn increasing attention in recent years, and its significance has increased in light of the recent outbreak of the COVID-19 epidemic. Numerous medical sectors have shown the benefits of telerehabilitation, gamification, VR, and AR. Given the rising demand for orthopaedic therapy and its rising costs, this is a requirement. A remote surgeon can impart knowledge without being present, by virtually placing his or her hands in the visual field of a local surgeon using AR technology. With the use of this innovation, orthopaedic surgery seems to have been able to participate in the telemedicine revolution. This technology may also have an impact on how surgeons collaborate and train for orthopaedic residencies in the future. Volatility in the HMD market will probably stall improvements in surgical education.

摘要

一系列扩展现实技术整合,包括沉浸式虚拟现实(IVR)、增强现实(AR)以及混合现实,近来在骨科领域受到青睐。本综述研究探讨了扩展现实技术在膝关节置换术中的应用。虚拟现实(VR)和AR通常在骨科手术训练中一起使用,因为手术室之外的诱人训练被认为是一种良好的手术训练工具。本文还涵盖了这项技术的使用、其对骨科医生及其患者的影响,以及其伦理和实际问题。头戴式显示器(HMD)是一种有望提高手术精度和教学效果的设备。尽管硬件很先进,但仍需要付出大量努力来开发能够无缝、可靠地集成到临床实践和培训中的软件。近年来,远程虚拟康复越来越受到关注,鉴于最近COVID-19疫情的爆发,其重要性也有所增加。许多医疗领域已经展示了远程康复、游戏化、VR和AR的益处。鉴于对骨科治疗的需求不断增加及其成本不断上升,这是一种必要手段。远程外科医生可以通过使用AR技术将自己的手虚拟放置在当地外科医生的视野中,在不在场的情况下传授知识。通过这项创新,骨科手术似乎已经能够参与远程医疗革命。这项技术也可能会影响外科医生未来在骨科住院医师培训中的协作和培训方式。HMD市场的波动可能会阻碍手术教育的进步。