Total hip replacement Surgery Total hip arthroplasty
Conditions
Interventions
Participants will be randomly allocated to either the intervention or the control group through stratified block randomisation, using blocks of equal size with stratification to balance surgical exper
Sponsors
Imperial College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Surgeons in training 2. Aged 18 years or older 3. Able to read and speak English 4. Able to provide informed consent
Exclusion criteria
Exclusion criteria: 1. Unable to speak or read English at a sufficient level to give informed consent 2. Retired from surgical practice 3. Suffers from a psychiatric illness that limits informed consent 4. Unwilling or unable to receive or access emails for study questionnaires 5. Medical history of headaches or epilepsy 6. Registered as partial sighted 7. Injuries or deformity preventing full function of both upper limbs 8. Performed more than 25 THRs under supervision or independently
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Technical and non-technical skills in total hip replacement, assessed using the ISCP Total Hip Arthroplasty Procedure Based Assessment from cadaveric total hip arthroplasty at the end of the 6 week program. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Behavioural related to safety and teamwork, assessed using the NOTECHS score at the cadaveric assessment (after the end of the 6 week program) 2. Knowledge of basic science and procedural steps related to THR, assessed using a postgraduate level exam in the 5 weekly VR sessions 3. Time-to-complete VR THR, measured in the 5 weekly VR sessions by the virtual reality platform from the point when the surgeon begins the first step of the procedure 4. Errors in task performance, measured in the 5 weekly VR sessions by the virtual reality platform by recording the number of errors in instrument selection 5. Accuracy in implant orientation in dry-bone, cadaver and VR sessions, measured in the 5 weekly VR sessions by the virtual reality platform by recording degrees of deviation from an assigned target, in cup inclination, cup anteversion, height of femoral neck osteotomy in millimetres from the less trochanter, and angle of femoral neck osteotomy in degrees 6. Feasibility and usability, assessed using Technology Acceptance Model-based and Realism surveys after the end of the 6 week program | — |
Countries
Canada, England, United Kingdom
Outcome results
None listed