HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulations

Surgery is a craft that has been handed down in a master–apprentice manner via supervised surgeries that demonstrates the need for high-quality training simulators. Despite advancements in this area, little progress has been made for one of the most common surgeries: total hip arthroplasty (THA). In...

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Main Authors: Mario Lorenz, Sebastian Knopp, Nina Pillen, Magdalena Sanrow, Andrea Hoffmann, Viktoria Stoiser, Dennis Schmidt, Johannes P. G. Atze, André Dettmann, Angelika C. Bullinger, Dirk Zajonz
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Virtual Reality
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Online Access:https://www.frontiersin.org/articles/10.3389/frvir.2025.1620135/full
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author Mario Lorenz
Mario Lorenz
Mario Lorenz
Sebastian Knopp
Nina Pillen
Magdalena Sanrow
Andrea Hoffmann
Viktoria Stoiser
Dennis Schmidt
Johannes P. G. Atze
André Dettmann
Angelika C. Bullinger
Dirk Zajonz
Dirk Zajonz
author_facet Mario Lorenz
Mario Lorenz
Mario Lorenz
Sebastian Knopp
Nina Pillen
Magdalena Sanrow
Andrea Hoffmann
Viktoria Stoiser
Dennis Schmidt
Johannes P. G. Atze
André Dettmann
Angelika C. Bullinger
Dirk Zajonz
Dirk Zajonz
author_sort Mario Lorenz
collection DOAJ
description Surgery is a craft that has been handed down in a master–apprentice manner via supervised surgeries that demonstrates the need for high-quality training simulators. Despite advancements in this area, little progress has been made for one of the most common surgeries: total hip arthroplasty (THA). In this work, we describe a multiuser virtual reality training simulator for THA called HIPS that covers the surgical steps from cutting off the femoral head to insertion of the stem. This encompasses the simulation environment, surgical errors detected, multiuser capabilities, as well as user guidance and user feedback methods. In a mixed-method evaluation (N = 12), HIPS was deemed to be realistic, enjoyable, and needed in resident training. The qualitative evaluation methods used herein reveal valuable feedback for further improvements and important learnings for general assessment of surgical training simulators. The variations in surgical techniques need to be evaluated further at different hospitals in different countries along with high-quality simulations of all sensory cues.
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institution Kabale University
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language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Virtual Reality
spelling doaj-art-99edcaa8ff244c19beefc3154a3c6a582025-08-20T03:25:59ZengFrontiers Media S.A.Frontiers in Virtual Reality2673-41922025-07-01610.3389/frvir.2025.16201351620135HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulationsMario Lorenz0Mario Lorenz1Mario Lorenz2Sebastian Knopp3Nina Pillen4Magdalena Sanrow5Andrea Hoffmann6Viktoria Stoiser7Dennis Schmidt8Johannes P. G. Atze9André Dettmann10Angelika C. Bullinger11Dirk Zajonz12Dirk Zajonz13Professorship for Production Systems and Processes, Chemnitz University of Technology, Chemnitz, GermanyDepartment of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, GermanyDivision of Macroscopic and Clinical Anatomy, Gottfried Schatz Research Center, Medical University of Graz, Graz, AustriaProfessorship for Production Systems and Processes, Chemnitz University of Technology, Chemnitz, GermanyYOUSE GmbH, Berlin, GermanyYOUSE GmbH, Berlin, GermanyChair for Ergonomics and Innovation, Chemnitz University of Technology, Chemnitz, GermanyFAKT Software GmbH, Leipzig, GermanyFAKT Software GmbH, Leipzig, GermanyCAT PRODUCTION GmbH, München, GermanyChair for Ergonomics and Innovation, Chemnitz University of Technology, Chemnitz, GermanyChair for Ergonomics and Innovation, Chemnitz University of Technology, Chemnitz, GermanyClinic for Orthopedics, Trauma Surgery and Sports Traumatology, Zeisigwaldkliniken Bethanien Chemnitz, Chemnitz, GermanyUniversity of Cooperative Education Plauen, Plauen, GermanySurgery is a craft that has been handed down in a master–apprentice manner via supervised surgeries that demonstrates the need for high-quality training simulators. Despite advancements in this area, little progress has been made for one of the most common surgeries: total hip arthroplasty (THA). In this work, we describe a multiuser virtual reality training simulator for THA called HIPS that covers the surgical steps from cutting off the femoral head to insertion of the stem. This encompasses the simulation environment, surgical errors detected, multiuser capabilities, as well as user guidance and user feedback methods. In a mixed-method evaluation (N = 12), HIPS was deemed to be realistic, enjoyable, and needed in resident training. The qualitative evaluation methods used herein reveal valuable feedback for further improvements and important learnings for general assessment of surgical training simulators. The variations in surgical techniques need to be evaluated further at different hospitals in different countries along with high-quality simulations of all sensory cues.https://www.frontiersin.org/articles/10.3389/frvir.2025.1620135/fullvirtual realitytotal hip arthroplastytrainingqualitative assessmentsurgeryhip joint
spellingShingle Mario Lorenz
Mario Lorenz
Mario Lorenz
Sebastian Knopp
Nina Pillen
Magdalena Sanrow
Andrea Hoffmann
Viktoria Stoiser
Dennis Schmidt
Johannes P. G. Atze
André Dettmann
Angelika C. Bullinger
Dirk Zajonz
Dirk Zajonz
HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulations
Frontiers in Virtual Reality
virtual reality
total hip arthroplasty
training
qualitative assessment
surgery
hip joint
title HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulations
title_full HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulations
title_fullStr HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulations
title_full_unstemmed HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulations
title_short HIPS: evaluating a virtual reality training simulation for total hip arthroplasty (THA) and insights into qualitative assessment of surgical training simulations
title_sort hips evaluating a virtual reality training simulation for total hip arthroplasty tha and insights into qualitative assessment of surgical training simulations
topic virtual reality
total hip arthroplasty
training
qualitative assessment
surgery
hip joint
url https://www.frontiersin.org/articles/10.3389/frvir.2025.1620135/full
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