The Journal of Bone and Joint Surgery 82:1494 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.
The Emerging Impact of the Information Age on Orthopaedic Surgery*
Development of a Virtual Reality Arthroscopic Knee Simulator
Robert Poss, M.D.,
Jay D. Mabrey, M.D.,
Scott D. Gillogly, M.D.,
James R. Kasser, M.D.,
Howard J. Sweeney, M.D.,
Bertram Zarins, M.D.,
William E. Garrett, Jr., M.D., Ph.D. and
W. Dilworth Cannon, M.D.
American Orthopaedic Association
*Presented at the Annual Meeting of the American Orthopaedic
Association, Sun Valley, Idaho, June 7, 1999.
Address for R. Poss: Department of Orthopaedic Surgery, Brigham
and Women's Hospital, 75 Francis Street, Boston, Massachusetts 02115-6110.
E-mail address: rposs@partners.org.
Address for J. D. Mabrey: Department of Orthopaedics, University
of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive,
San Antonio, Texas 78284-7774. E-mail address: mabrey@uthscsa.edu.
Address for S. D. Gillogly: 3200 Downwood Circle, Suite 530,
Seeabue, Georgia 30327.
Address for J. R. Kasser: Children's Hospital Medical Center,
300 Longwood Avenue, Boston, Massachusetts 02115. E-mail address: kasser@a1.tch.harvard.edu.
Address for H. J. Sweeney: 1144 Wilmette Avenue, Wilmette, Illinois
60091.
Address for B. Zarins: Massachusetts General Hospital, 15 Parkman
Street, Suite 514, Boston, Massachusetts 02114. E-mail address:
bertram@mgh.harvard.edu.
Address for W. E. Garrett, Jr.: The University of North Carolina
School of Medicine, Burnett-Womack Building, Room 236, Campus Box
7055, Chapel Hill, North Carolina 27599. E-mail address: bill_garrett@med.unc.edu.
Address for W. D. Cannon: University of California at San Francisco
Medical Center, Level 1, 500 Parnassus Avenue, San Francisco, California
94143. E-mail address: dcannon@ortho1.ucsf.edu.
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Introduction
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For some years, orthopaedic educators have awaited the development
of virtual reality technology in the hope that it might offer a suitable
means of teaching and evaluating skills proficiency. Such a tool
would greatly facilitate resident education while decreasing training
time in the operating room and reducing the likelihood of adverse
technical outcomes. For the practicing orthopaedic surgeon, it would
provide a means of maintaining surgical skills and learning new
techniques. While the promise of virtual reality technology has
been great, in 1996 the American Academy of Orthopaedic Surgeons
(AAOS) evaluated its status and determined that it was too soon
to commit the substantial resources necessary to successfully develop
it as a training and evaluation tool.
The American Board of Orthopaedic Surgery (ABOS) also has been
interested in this technology as a means of evaluating the surgical skills
of candidates for certification and recertification. In 1997, the
Board funded the . . . [Full Text of this Article]

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