VR Training Modules
Released VR Training Modules
Several of the currently available modules are shown below, with many more available including FractureLab with the ability to create case studies for preparation and training purposes.
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.























