Can virtual reality improve orthopaedic surgical competence among orthopaedic residents and students? A systematic review.

Authors

  • Ioannis Christofides
  • Panayiotis Tanos
  • Aegli Athanasiadou
  • Andrea Volpin

Keywords:

virtual reality; orthopaedics; residency; education; medical students

Abstract

Virtual reality simulated experiences (VRSE) offer a promising alternative to traditional orthopaedic training methods, which are often costly and place a significant financial strain on hospitals. As the medical community faces increasing demands for cost-effective, scalable, and durable educational systems, VRSE has the potential to revolutionise surgical instruction and enhance trainee engagement. To assess its effectiveness, a systematic review was conducted using a comprehensive search strategy via the NICE Healthcare Databases Advanced Search. Six randomised controlled trials involving 130 participants were included in the review, which was registered prospectively with PROSPERO (CRD42023463827). The findings indicated that VRSE may improve procedural completion rates and enhance key surgical skills, such as time efficiency, motion control, instrument handling, and knowledge retention. Despite these positive outcomes, current evidence remains insufficient to conclude that VRSE is an effective alternative to traditional educational methods. Further research is necessary to establish its long-term value in orthopaedic training.

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Author Biographies

Ioannis Christofides

Department of Orthopaedics, University Medical Center Groningen,
University of Groningen, Groningen, the Netherlands

Panayiotis Tanos

Institute of Applied Health Sciences, University of Aberdeen, NHS Grampian, United Kingdom

Aegli Athanasiadou

Department of Rheumatology, Leiden University Medical Centre, Leiden, the Netherlands

Andrea Volpin

Trauma and Orthopaedics, Dr Gray’s Hospital, Elgin, NHS Grampian, United Kingdom

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Published

2025-12-31