de Andrade André Luis Lugnani, Yuamoto Fernanda Yuri, Malcher Claudia Marques Santa Rosa, Appenzeller Simone, Garcia Thiago Alves, Belangero William Dias
Universidade de Campinas (UNICAMP), Faculdade de Ciencias Medicas, Hospital de Clinicas da Unicamp, Campinas, SP, Brazil.
Universidade do Estado do Para (UEPA), Belem, PA, Brazil.
Acta Ortop Bras. 2025 Aug 18;33(3):e287823. doi: 10.1590/1413-785220253303e287823. eCollection 2025.
There is a reduction in the workload of medical residency in orthopedics and a perception that residents can improve their surgical skills without the need to expose patients to risks. Arthroscopies are among the most frequent surgeries in orthopedics and can be trained in a Virtual Reality environment. Our objective is to evaluate the ability of Virtual Reality to develop arthroscopic skills in medical students and orthopedic residents. We conducted the search on Pubmed, Scopus, Embase, and Web of Science platforms. Excluding duplicates, 521 articles remained. We use the Rayyan application to exclude articles outside the scope of the study, and three randomized articles that evaluated the arthroscopic performance of medical students or orthopedic residents with and without training in virtual reality were selected. Regarding time, a tendency towards a decrease in arthroscopic execution time was observed by individuals who trained in VR simulators. Regarding surgical skill, a significant improvement in arthroscopic execution was observed by individuals who trained in VR simulators. Virtual Reality simulators proved effective in developing arthroscopic surgical skills and were an effective alternative in training students and residents. .
骨科住院医师的工作量有所减少，并且有一种观点认为住院医师无需让患者承担风险就能提高其手术技能。关节镜手术是骨科最常见的手术之一，可以在虚拟现实环境中进行培训。我们的目的是评估虚拟现实技术培养医学生和骨科住院医师关节镜手术技能的能力。我们在PubMed、Scopus、Embase和科学网平台上进行了检索。排除重复项后，还剩下521篇文章。我们使用Rayyan应用程序排除研究范围之外的文章，并选择了三篇随机文章，这些文章评估了接受和未接受虚拟现实培训的医学生或骨科住院医师的关节镜手术表现。在时间方面，在VR模拟器中接受培训的个体的关节镜手术执行时间有缩短的趋势。在手术技能方面，在VR模拟器中接受培训的个体的关节镜手术表现有显著改善。虚拟现实模拟器被证明在培养关节镜手术技能方面是有效的，并且是培训学生和住院医师的有效替代方法。
