ClinicalTrials.gg
Enrolling by invitationNCT07515092Updated Oct 23, 2026

Virtual Reality-Based Simulation Training for Retrograde Anterior Column Acetabular Screw Placement in Orthopedic Residents

An interventional study of Virtual reality based simulation training and Standard Training in Virtual Reality Simulation, sponsored by Bangkok Metropolitan Administration Medical College and Vajira Hospital. Enrolling by invitation at 1 site in Thailand. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Bangkok Metropolitan Administration Medical College and Vajira Hospital · Not applicable, Interventional, and Other

Updated Oct 23, 2026Primary completion movedStudy completion moved+4 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Sex
All
01

Study summary

The goal of this study is to find out if virtual reality (VR) training helps orthopedic residents improve their skills in placing screws in the pelvic bone. The study will also compare VR training with standard training to see which method is more effective and easier to use.

The main questions it aims to answer are:

Does VR training improve performance compared to standard training? Does VR training help reduce procedure time and X-ray use? Do participants prefer VR training? Researchers will compare VR training with standard training using a crossover design, where all participants receive both types of training.

Participants will:

Take part in both VR and standard training sessions Practice the procedure on a bone model Be evaluated by experts on their performance Complete a satisfaction questionnaire

02

Conditions studied

  • Virtual Reality Simulation

Keywords

  • Virtual reality
  • anterior column screw
  • anterior column screw of acetabulum
  • virtual reality based simulation training
  • retrograde anterior column screw
03

In context

Lead sponsor

Bangkok Metropolitan Administration Medical College and Vajira Hospital is the lead sponsor of 23 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Orthopedic residents (PGY 1-4)
  • Currently enrolled in the orthopedic training program at Vajira Hospital

Exclusion criteria

Exclusion Criteria:

  • Prior VR training in pelvic fixation procedures
  • Experience performing antegrade anterior column screw placement more than 5 times
  • Inability to complete all study procedures
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    VR Simulation Training → Standard Training (Sequence AB)

    Participants first undergo VR simulation training, followed by standard training after a washout period

    Device: Virtual reality based simulation training · Other: Standard Training

  • Active comparator
    Standard Training → VR Simulation Training (Sequence BA)

    Participants first undergo standard training, followed by VR simulation training after a washout period.

    Device: Virtual reality based simulation training · Other: Standard Training

Interventions

  • DeviceVirtual reality based simulation training

    Participants train using a VR platform simulating retrograde anterior column screw placement. Three-dimensional pelvic models reconstructed from CT data are integrated into a virtual operating environment. Participants interact using a VR headset with simulated instruments and fluoroscopic imaging, allowing repeated practice with real-time feedback. Duration: up to 30 minutes.

  • OtherStandard Training

    Participants perform screw placement on a pelvic sawbone model under fluoroscopic guidance using standard instruments, including a 2.0 mm K-wire. The setup simulates real operative conditions. Duration: up to 30 minutes.

06

What researchers measure

Primary outcomes

  1. Global Rating Scale (GRS) Score for Technical Performance

    Overall technical performance score (range 6-30) assessed by two independent blinded orthopedic trauma experts using a validated Global Rating Scale. A higher score means better outcomes.

    Time frame: Immediately after each training session

Secondary outcomes

  1. Procedure Time

    Total time required to complete the screw placement procedure (minutes).

    Time frame: Immediately after each training session

  2. Fluoroscopy Time

    Total duration of fluoroscopic use during the procedure (seconds).

    Time frame: Immediately after each training session

  3. Guidewire Reposition Attempts

    Number of times the guidewire trajectory is adjusted during the procedure.

    Time frame: Immediately after each training session

  4. User Satisfaction (QUIS Score)

    Participant satisfaction assessed using the Questionnaire for User Interaction Satisfaction (Likert scale). This score contains of 9-point bipolar Likert scale, the analysis focuses on Central Tendency (Mean) and Variability (Standard Deviation). A Higher mean of the score indicates better outcome. Minimum score =1, Maximum score = 9.

    Time frame: Immediately after each training session

07

Study locations

1 site
  • Faculty of medicine Vajira hospital
    Bangkok, 10300, Thailand
08

References and documents

Publications

  • Kamper SJ, Maher CG, Mackay G. Global rating of change scales: a review of strengths and weaknesses and considerations for design. J Man Manip Ther. 2009;17(3):163-70. doi: 10.1179/jmt.2009.17.3.163. PubMed 20046623 ↗
  • Kuhn AW, Yu JK, Gerull KM, Silverman RM, Aleem AW. Virtual Reality and Surgical Simulation Training for Orthopaedic Surgery Residents: A Qualitative Assessment of Trainee Perspectives. JB JS Open Access. 2024 Mar 20;9(1):e23.00142. doi: 10.2106/JBJS.OA.23.00142. eCollection 2024 Jan-Mar. PubMed 38511201 ↗
  • McCloy R, Stone R. Science, medicine, and the future. Virtual reality in surgery. BMJ. 2001 Oct 20;323(7318):912-5. doi: 10.1136/bmj.323.7318.912. No abstract available. PubMed 11668138 ↗
  • Gansslen A, Lindahl J, Lindtner RA, Krappinger D, Staresinic M. Special screw corridors and imaging in pelvic ring trauma. Arch Orthop Trauma Surg. 2025 Jan 4;145(1):110. doi: 10.1007/s00402-024-05610-0. PubMed 39755924 ↗
  • Berk T, Zderic I, Schwarzenberg P, Pastor T, Drenchev L, Skulev HK, Richards G, Hierholzer C, Halvachizadeh S, Pape HC, Gueorguiev B. Antegrade anterior column acetabulum fracture fixation with cannulated compression headless screws-A biomechanical study on standardized osteoporotic artificial bone. PLoS One. 2024 Jun 3;19(6):e0300256. doi: 10.1371/journal.pone.0300256. eCollection 2024. PubMed 38829845 ↗
  • Osterhoff G, Wulsten D, Babu S, Heyland M, Pari C. Antegrade versus retrograde screw fixation of anterior column acetabular fractures: a biomechanical in vitro study. Eur J Trauma Emerg Surg. 2021 Oct;47(5):1307-1312. doi: 10.1007/s00068-019-01255-6. Epub 2019 Oct 29. PubMed 31664465 ↗
  • Unal YC, Adanas C, Kaya S, Ozkan S, Ismailov U. Virtual reality headset versus traditional training in orthopedic surgery: A comparative study on real surgical performance in total knee arthroplasty. Medicine (Baltimore). 2024 Nov 22;103(47):e40615. doi: 10.1097/MD.0000000000040615. PubMed 39809210 ↗
  • Martin KD, Akoh CC, Amendola A, Phisitkul P. Comparison of Three Virtual Reality Arthroscopic Simulators as Part of an Orthopedic Residency Educational Curriculum. Iowa Orthop J. 2016;36:20-5. PubMed 27528830 ↗
  • Kayaalp ME, Konstantinou E, Karaismailoglu B, Lucidi GA, Kaymakoglu M, Vieider R, Giusto JD, Inoue J, Hirschmann MT. The metaverse in orthopaedics: Virtual, augmented and mixed reality for advancing surgical training, arthroscopy, arthroplasty and rehabilitation. Knee Surg Sports Traumatol Arthrosc. 2025 Aug;33(8):3039-3050. doi: 10.1002/ksa.12723. Epub 2025 Jul 7. PubMed 40622017 ↗
  • Hooper J, Tsiridis E, Feng JE, Schwarzkopf R, Waren D, Long WJ, Poultsides L, Macaulay W; NYU Virtual Reality Consortium. Virtual Reality Simulation Facilitates Resident Training in Total Hip Arthroplasty: A Randomized Controlled Trial. J Arthroplasty. 2019 Oct;34(10):2278-2283. doi: 10.1016/j.arth.2019.04.002. Epub 2019 Apr 8. PubMed 31056442 ↗
  • de Andrade ALL, Yuamoto FY, Malcher CMSR, Appenzeller S, Garcia TA, Belangero WD. ARTHROSCOPY LEARNING IN VIRTUAL REALITY: SYSTEMATIC REVIEW AND METANALYSIS. Acta Ortop Bras. 2025 Aug 18;33(3):e287823. doi: 10.1590/1413-785220253303e287823. eCollection 2025. PubMed 40837459 ↗
  • Cannon WD, Garrett WE Jr, Hunter RE, Sweeney HJ, Eckhoff DG, Nicandri GT, Hutchinson MR, Johnson DD, Bisson LJ, Bedi A, Hill JA, Koh JL, Reinig KD. Improving residency training in arthroscopic knee surgery with use of a virtual-reality simulator. A randomized blinded study. J Bone Joint Surg Am. 2014 Nov 5;96(21):1798-806. doi: 10.2106/JBJS.N.00058. PubMed 25378507 ↗
  • Blumstein G, Zukotynski B, Cevallos N, Ishmael C, Zoller S, Burke Z, Clarkson S, Park H, Bernthal N, SooHoo NF. Randomized Trial of a Virtual Reality Tool to Teach Surgical Technique for Tibial Shaft Fracture Intramedullary Nailing. J Surg Educ. 2020 Jul-Aug;77(4):969-977. doi: 10.1016/j.jsurg.2020.01.002. Epub 2020 Feb 5. PubMed 32035854 ↗
  • Vaughan N, Dubey VN, Wainwright TW, Middleton RG. A review of virtual reality based training simulators for orthopaedic surgery. Med Eng Phys. 2016 Feb;38(2):59-71. doi: 10.1016/j.medengphy.2015.11.021. Epub 2015 Dec 29. PubMed 26751581 ↗
  • Hasan LK, Haratian A, Kim M, Bolia IK, Weber AE, Petrigliano FA. Virtual Reality in Orthopedic Surgery Training. Adv Med Educ Pract. 2021 Nov 10;12:1295-1301. doi: 10.2147/AMEP.S321885. eCollection 2021. PubMed 34785971 ↗
  • Cevallos N, Zukotynski B, Greig D, Silva M, Thompson RM. The Utility of Virtual Reality in Orthopedic Surgical Training. J Surg Educ. 2022 Nov-Dec;79(6):1516-1525. doi: 10.1016/j.jsurg.2022.06.007. Epub 2022 Jul 9. PubMed 35821110 ↗
  • Cate G, Barnes J, Cherney S, Stambough J, Bumpass D, Barnes CL, Dickinson KJ. Current status of virtual reality simulation education for orthopedic residents: the need for a change in focus. Global Surg Educ. 2023;2(1):46. doi: 10.1007/s44186-023-00120-w. Epub 2023 Mar 22. PubMed 38013875 ↗

Individual participant data

Plan to share: No — Individual participant data (IPD) will not be shared. The dataset contains sensitive information collected from a limited number of participants within a single institution, and there is a potential risk of participant re-identification despite de-identification procedures. Therefore, data sharing is restricted to protect participant confidentiality in accordance with institutional review board (IRB) requirements.

09

Updates

1 registry update since Sep 25, 2026
Sites
1 site added, 1 site removed
Show site
  • Faculty of medicine Vajira hospital · Bangkok, Thailand
Show 1 removed
  • Faculty of medicine Vajira hospital · Bangkok, Thailand
Oct 23, 2026
Primary completion
Aug 1, 2026→Sep 1, 2026 (actual)
Oct 23, 2026
Study completion
Jun 1, 2027→Dec 1, 2027
Oct 23, 2026
Primary outcomes
1 description edited
What changed in the outcomes
  • DescriptionGlobal Rating Scale (GRS) Score for Technical Performance: how it is measured was reworded
Oct 23, 2026
Title
Virtual Reality-Based Simulation Training for AntegradeRetrograde Anterior Column Acetabular Screw Placement in Orthopedic Residents
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    1 site added, 1 site removed
    Show site
    • Faculty of medicine Vajira hospital · Bangkok, Thailand
    Show 1 removed
    • Faculty of medicine Vajira hospital · Bangkok, Thailand
    Primary completion Aug 1, 2026→Sep 1, 2026 (now actual)
    Study completion Jun 1, 2027→Dec 1, 2027
    Primary outcomes 1 description edited
    What changed in the outcomes
    • DescriptionGlobal Rating Scale (GRS) Score for Technical Performance: how it is measured was reworded
    Title Virtual Reality-Based Simulation Training for AntegradeRetrograde Anterior Column Acetabular Screw Placement in Orthopedic Residents
    + 3 other changes: verification date, conditions and arm descriptions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07515092
Lead sponsor
Bangkok Metropolitan Administration Medical College and Vajira Hospital
Responsible party
Samrit Tanya (MD., Bangkok Metropolitan Administration Medical College and Vajira Hospital) — Principal investigator
First posted
Apr 7, 2026
Start date
Jan 1, 2026
Primary completion
Sep 1, 2026
Completion
Dec 1, 2027 (estimated)
Last update
Oct 23, 2026

Study contacts

Pornsak Nirunsuk
study chair · Faculty of medicine Vajira Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion