VR Training Modules
Released VR Training Modules
Fundamentals
Fully featured anatomical specimen. Identify & explore pertinent anatomical structures, record content etc.
Arthroscopy skills trainer to practice telescoping, rotating, pivoting, and periscoping, a critical fundamental skill set.
Practice skills involving a proximal humeral neck cut to varying NSA and version options, with immediate feedback.
Practice skills involved in conducting a knee range of motion tests at a variety of angles of flexion with real-time feedback.
Intraoperative X-ray imaging of a fractured pelvis. Recognise appropriate patient positioning for radiographic projects of the hip.
Utilise a spinal needle to position and form portals to identify over twenty anatomical structures inside the left shoulder.
Trauma
Triangulation skills, C-arm, K-wire, screw inspection of an intertrochanteric hip fracture (knowledge of anatomy & surgical approaches)
Closed reduction and percutaneous pinning of a distal radius fracture. Utilise a C-arm to image fracture planes and guide placement of hardware devices.
CPR: Identify when, and on who, chest compressions should be done. Use correct chest compression technique on an unconscious patient.
Dislocated Shoulder: Describe and demonstrate the process to reseat an anteriorly dislocated shoulder. Module provides real-time feedback to improve skills developed.
Perform a retrograde intramedullary nail fixation of a mid-diaphyseal femur fracture. This procedure was developed for low-middle income country use.
Spine
Demonstrate visuospatial skills for 3D orientation using simulated fluoroscopy to localise relevant structures for non-operative management of degenerative spine.
Setup: Prepare a C-arm for a spine procedure and position the C-arm relative to a patient, save position presets and acquire intraoperative images
3D Features: Capture a 3D spine scan to visualise pedicle screw hardware intraoperatively. Demonstrate how to capture and refine 3D images.
Hyperlordosis: Manipulate a C-arm to insert a pedicle screw into L1 of a patient with hyperlordosis and confirm correct placement with intraoperative C-arm imaging.
XALIF: Perform an XALIF procedure for accessing L5-S1 in the lateral decubitus procedure for disc access, removal & placement of the interbody fusion cages with intraoperative fluoroscopy.
XLIF (L4-L5): Perform an XLIF surgical approach for: disc access, removal and placement of the interbody fusion cages with intraoperative fluoroscopy. Describe XLIF procedure.
Shoulder & Elbow
Deltopectoral Approach & Humeral Cut: Perform the deltopectoral surgical approach and obtain optimum glenoid exposure. Position retractors for adequate exposure throughout the case.
Glenoid Exposure: Perform the key steps for retractor placement and dissection for glenoid exposure for trauma or elective surgery. Feedback provided to monitor skill set progress.
Glenoid Preparation: Anatomic: List the necessary steps & use a variety of surgical instruments to prepare and size the glenoid for an anatomic implant.
Glenoid Preparation: Reverse: List the necessary steps & use a variety of surgical instruments to prepare and size the glenoid for a reverse glenoid.
Total/Reverse Shoulder Arthroplasty: Perform the steps to achieve glenoid exposure for trauma or elective surgery.
Reverse Shoulder: Normal Glenoid: Install a baseplate upon an unremarkable glenoid with no erosion, an average superior inclination of 8-9° and retroversion of 6-7°.
Reverse Shoulder: Walch B2 Glenoid: Install a baseplate upon Walch B2 glenoid, which is biconcave and has an anterior paleoglenoid and posteroinferior neoglenoid.
Reverse Shoulder: Walch B3 Glenoid: Install a baseplate upon Walch B3 glenoid which is monoconcave with greater than 15° of retroversion and ~70% posterior humeral head subluxation.
Reverse Shoulder: Favard E1 Glenoid: Install a baseplate upon a Favard E1 glenoid, which has a concentric medial central erosion of the glenoid with the rim well-preserved.
Reverse Shoulder: Favard E2 Glenoid: Install a baseplate upon a Favard E2 glenoid that has an erosion patter which is posterosuperior.
Sports
Anteromedial ACL Reconstruction: Arthroscopic ACL reconstruction, including femoral and tibial tunnel positioning and graft fixation. Utilises limb positioning, and arthroscopic triangulation skills.
All Inside ACL Reconstruction: Utilise arthroscopic triangulation skills to position and place graft sockets that mimic anatomic ACL.
Femoroacetabular Impingement: Demonstrate visuospatial skills for 3D orientation using simulated fluoroscopy and arthroscopic viewing portals about the hip. Identify and remove impinging bone in FAI.
Hip & Knee
Direct Anterior Hip Approach: Perform an anterior hip approach, and recognise intervals, structures at risk, and the proper use of retractors to obtain adequate acetabular exposure.
Tibial Central Cone & Revision Femur: Perform a revision total knee arthroplasty for a failed primary total knee for a central tribal defect requiring a cone, the femur is a revision.
Medial Tibial Augment & Revision Femur: Perform a revision total knee arthroscopy for a failed primary total knee involving a medial tibia defect that requires an augment, the femur is a revision.
Tibial Central Cone & Femoral Offset Cone: Perform a revision total knee arthroplasty for a failed primary total knee involving a central tibial defect requiring a cone, the femur revision requires an offset femoral stem and cone.
Tibial Augment & Femoral Offset: Perform a revision total knee arthroscopy for a failed primary total knee involving a medial tibia defect requiring augment, and femoral offset stem and cone.
Tibial Central Cone & Femoral Augment: Perform a revision total knee arthroplasty for a failed primary total knee involving a central tibial defect requiring a cone, the femur presents with a medial defect requiring an augment.
Medial Tibial Augment & Medial Femoral Augment: Perform a revision total knee arthroscopy for a failed primary total knee involving a medial defect on both tibia and femur requiring augments.
Robotic Total Knee: Robotically assisted total knee arthroscopy. Perform a TKA using robotic assistance for a primary, varus, degenerative knee. Describe varus & valgus alignment, range of motion, degrees of resection, rotation measurements through the epicondylar axis, and flexion and extension balancing.
Pediatrics
Slipped Capital Femoral Epiphysis: Mild: Perform a SCFE percutaneous in situ fixation with a single cannulated screw, perpendicular to the physis with at least 5 threads across the physis.
Slipped Capital Femoral Epiphysis: Moderate: Perform a SCFE percutaneous in situ fixation with a single cannulated screw, perpendicular to the physis with at least 5 threads across the physis.