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Archives of Orthopaedic and Trauma Surgery

Open Access 04-05-2024 | Tibial Plateau Fracture | Trauma Surgery

Comparison of virtual reality and computed tomography in the preoperative planning of complex tibial plateau fractures

Authors: Christian Colcuc, Marco Miersbach, Miguel Cienfuegos, Niklas Grüneweller, Thomas Vordemvenne, Dirk Wähnert

Published in: Archives of Orthopaedic and Trauma Surgery

Abstract

Introduction

Preoperative planning is a critical step in the success of any complex surgery. The pur-pose of this study is to evaluate the advantage of VR glasses in surgical planning of complex tibial plateau fractures compared to CT planning.

Materials and methods

Five orthopedic surgeons performed preoperative planning for 30 fractures using either conventional CT slices or VR visualization with a VR headset. Planning was performed in a randomized order with a 3-month interval between planning sessions. A standardized questionnaire assessed planned operative time, planning time, fracture classification and understanding, and surgeons’ subjective confidence in surgical planning.

Results

The mean planned operative time of 156 (SD 47) minutes was significantly lower (p < 0.001) in the VR group than in the CT group (172 min; SD 44). The mean planning time in the VR group was 3.48 min (SD 2.4), 17% longer than in the CT group (2.98 min, SD 1.9; p = 0.027). Relevant parameters influencing planning time were surgeon experience (-0.61 min) and estimated complexity of fracture treatment (+ 0.65 min).

Conclusion

The use of virtual reality for surgical planning of complex tibial plateau fractures resulted in significantly shorter planned operative time, while planning time was longer compared to CT planning. After VR planning, more surgeons felt (very) well prepared for surgery.

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Title: Comparison of virtual reality and computed tomography in the preoperative planning of complex tibial plateau fractures
Authors: Christian Colcuc
Marco Miersbach
Miguel Cienfuegos
Niklas Grüneweller
Thomas Vordemvenne
Dirk Wähnert
Publication date: 04-05-2024
Publisher: Springer Berlin Heidelberg
Keywords: Tibial Plateau Fracture
Computed Tomography
Computed Tomography
Published in: Archives of Orthopaedic and Trauma Surgery
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-024-05348-9

At a glance: The STEP trials

Springer Medicine

Comparison of virtual reality and computed tomography in the preoperative planning of complex tibial plateau fractures

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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