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Entrenamiento en traumatología ortopédica con realidad virtual: FractureLab™ con fluoroscopia en vivo y creación de casos.

Article Summary

septiembre 4, 2025

Dr. Lohre never set out to be exceptional. He just wanted to be ready. When he began his residency in orthopedic surgery, he quickly realized that the operating room (OR) wasn’t just where cases were done—it was where careers were made. While others may have leaned on research papers or academic accolades, Dr. Lohre focused on something more foundational: preparation.

In This Article:

PrecisionOS FractureLab

Orthopedic trauma is where precision meets pressure. With virtual reality orthopedic trauma training, residents and surgeons can practice fracture management repeatedly, without OR risk, time constraints, or cadaver costs. 

FractureLab™ goes further: it’s an orthopedic fracture simulation platform designed for safe repetition, VR surgical training at scale, and measurable performance growth. And because intraoperative imaging is pivotal in trauma, FractureLab™ emphasizes live C‑arm practice without radiation exposure. 

Why VR Works for Trauma (and How It Translates to the OR) 

VR lets trainees rehearse reduction, fixation, and imaging until they’re fluent, before they step into the OR. The result is faster step completion, improved accuracy, and safer intraoperative imaging technique learned in a repeatable, risk‑free environment. 

Key takeaways 

  • Build muscle memory on core steps (e.g., femoral neck reduction, tibial IM nail, ankle and shoulder fracture workflows). 
  • Practice fluoroscopy shots (AP/Lateral X‑ray views) and C‑arm positioning safely, as often as needed. 
  • Get objective feedback and repeat instantly, no lab scheduling or cadaver logistics. 

What You Can Do Today in FractureLab™ 

Practice a Growing Library of Realistic Fractures 

From shoulder to ankle, select the fracture pattern you need and work through reduction and fixation with feedback, then repeat until you hit proficiency. 

Learn Like You Perform 

Position the patient, set up your field, and execute the plan as you would in the OR, same steps, same sequence, better outcomes. 

Superhuman Visualization 

Toggle and layer anatomy for deeper understanding; freeze or rotate the field to inspect reduction and implant trajectory from every angle. 

Live C‑arm Fluoroscopy (Not Just Snapshots) 

Train C‑arm technique in real time, reviewing AP/Lateral images as you work, so your C‑arm fluoroscopy training aligns with intra‑op reality. 

A Complete Surgical Toolkit 

From guidewires to plates and screws, what you place is what you see on imaging, reinforcing the cause‑and‑effect between technique and radiographs. 

Case Authoring: Create, Share, and Benchmark Your Own Fractures 

This is where FractureLab™ shifts from fracture management training to a programmable platform. Case authoring enables the creation of custom practice scenarios and sharing across your program. Access to “Create a Case” is available on request; you can fracture bones yourself to rehearse upcoming cases or practice cases created by faculty. 

  • Select anatomy and define fracture patterns. 
  • Add clinical context (imaging goals, patient positioning, constraints). 
  • Publish/share with faculty and residents for standardized practice. 
  • Benchmark performance with objective metrics (time, accuracy, imaging efficiency). 

Assessment & Curriculum Alignment 

Turn training into proof. Map objectives to residency competencies and use surgical skills assessment in VR to track progress across cohorts. For institutional pathways, we provide options for programs and pricing based on scope and scale. 

Toward a Virtual Cadaver Lab (Roadmap) 

We’re building toward a virtual cadaver lab, a fully configurable environment for any approach, position, or osteotomy you want to teach. BodyWorks™ Anatomy Studio and the Delphi™ AI Mentor connect the ecosystem, from anatomy to trauma simulation to guided learning. 

Comparison: Traditional Modules vs. FractureLab Platform 

Training need Traditional canned modules FractureLab™ platform 
Realistic trauma variety Fixed cases Ever‑growing library; fracture bones yourself; request Create‑a‑Case access 
Imaging practice Static snapshots Live C‑arm fluoroscopy with AP/Lateral practice 
Assessment Limited Objective metrics & benchmarking across cohorts 
Scalability Logistics/cadaver costs Anytime, repeatable VR sessions 

FAQs 

Can VR really improve fluoroscopy technique and imaging safety? 

Yes. VR provides a safe, repeatable environment to learn C‑arm positioning, AP/Lateral shot selection, and radiation‑aware habits, without exposing patients or trainees. 

How is this different from other surgical VR tools? 

FractureLab™ emphasizes live fluoroscopy practice and programmable practice through case creation/access, so trauma teams can rehearse what they actually treat. 

Does FractureLab integrate with anatomy learning and guided mentoring? 

Yes, BodyWorks™ covers anatomy and the Delphi™ AI Mentor supports guided exploration and Q&A, creating a continuum from anatomy to trauma simulation. 

Next Steps 


Sobre PrecisionOS 
PrecisionOS is an award-winning medical software company redefining surgical training through virtual reality. Built by surgeons for surgeons, PrecisionOS empowers healthcare teams around the world with immersive, measurable, and patient-centered learning experiences. 

info@precisionostech.com 
www.precisionostech.com 

Related Insights

Build Confidence For The OR, Now

Take your surgical preparedness to the next level with our immersive training ecosystem. Looking to scale your program? Request more info for your institution here.

Sobre PrecisionOS

PrecisionOS is a leader in virtual reality-enabled surgical education. Trusted by top academic medical centers, health systems, and professional societies worldwide, the company delivers an immersive, scalable training ecosystem designed by surgeons for residents and the next generation of healthcare professionals. By combining high-fidelity VR cadaver labs with on-the-go access via the Approaches mobile module and AI-driven performance reporting, PrecisionOS ensures surgeons are ready for the OR, today.

Preguntas frecuentes

Is there a step-by-step "Quick Start" guide for residents?

Yes—The Onboarding Course is your fastest path to proficiency. It walks you through account syncing, procedure selection, and your first virtual rehearsal step-by-step, ensuring you are “OR Ready” before you pick up the controllers.

Action: Follow the guided video path to standardize your learning experience.

Yes. PrecisionOS is compatible with Meta Quest 3, and 3s. If you already own a headset, you simply need to download the PrecisionOS Launcher from the App Store and sign in with your institution email and membership credentials.

Action: Download the launcher and log in.

Your Individual Membership is a month-to-month subscription ($99/mo) designed for residents who want 24/7 access to surgical rehearsal without a long-term contract.  Reach out for information about an institutional membership.

Action: Your card is billed every 30 days from the date of signup.

Hospital networks will often require a MAC address for device white-listing. You can find this in your Meta Quest headset settings under About > MAC Address.

Action: Reach out to provide your IT department with the MAC address found in your headset settings.

Both the headset firmware and the PrecisionOS app must be up to date to prevent technical glitches. Go to Settings > Software Update on your Quest and check the Launcher for app updates.

Action: Enable “Auto-updates” in your headset settings.

About The Author

Imagen de Danny P. Goel, MD

Danny P. Goel, médico

Is the CEO of PrecisionOS and is a practicing surgeon and surgical educator. Dr. Goel currently practices in the Vancouver, B.C. area and also serves on the University of British Columbia’s Faculty of Medicine in the Department of Orthopedic Surgery.

He received his medical degree from the University of Manitoba, pursued his residency training in orthopedic surgery at the University of Calgary, and completed fellowship training in shoulder surgery at the University of Western Ontario and Harvard University.

Goel has co-authored more than 30 publications, and is widely sought as a presenter on surgical techniques.

21 Months of Automated VR Data

MAJOR ACADEMIC ORTHOPAEDIC RESIDENCY PROGRAM

How self-directed VR practice fills the seams of the clinical day and produces measurable learning trajectories—completely automatically.

Executive Summary:

Over a 21-month period, 30 orthopaedic residents integrated immersive VR into their training curriculum. With a simple, weekly requirement for residents to practice in headset, the platform seamlessly captured over 88,000 structured data points across 2,566 practice sessions. The resulting data proved that when residents have access to high-fidelity, frictionless simulation and are motivated, they will hone their skills and demonstrate clear performance improvements.

Frictionless Adoption: Practice doesn't compete with clinical time. The data revealed that 45% of all sessions happened organically during lunch breaks or on weekends.

Comprehensive Coverage: Usage wasn't limited to a single subspecialty. Residents attempted 61 distinct cases across 27 procedure modules, proving active engagement from Foundations & Anatomy to Complex Trauma.

Measurable Improvement: The platform didn't just track usage; it tracked skill acquisition. Across 288 scored playthroughs, longitudinal data showed a clear performance signal, with residents demonstrating an average positive learning delta of +0.36 over time.

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Own Your Progress.

Download the PrecisionOS mobile app to access Delphi’s insight reports and turn every VR session into a springboard for future success.

Step #1

State Your Intent

Tell Delphi, your AI Attending Mentor, what you are looking to practice.

Step #2

Get Practice Recommendations

Based on your request, Delphi will suggest personalized VR apps and Video training.

Step #3

Queue Apps In VR

Tap Add to Queue and the VR app will be waiting for you in headset.

Step #4

Learn From Experts

Access the video library for expert-led Virtual Grand Rounds and discover surgical pearls from industry leaders and device experts.

Step #4

Practice With A Plan

Go through the recommended VR apps to gain the skills and repetition needed for success. 

Step #5

Review Performance Insights

After your VR session, review your personalized performance insight on your phone to maximine your OR success. 

Smiling businessman in blue suit and tie against gray background.

Dr. Andrew Maeso

Orthopedic resident

From Uncertainty to Execution

“You already have a plan, now you’re just executing it.”

The Story: Bridging the "Intern Gap"

Dr. Andrew Maeso recognizes the steep reality of residency: “As an intern, you are thrown into the fire.” For him, the hurdle wasn’t just the surgery—it was the invisible mechanics (positioning, X-ray angles, and workflow) that move too fast to learn in a high-pressure OR.

The Solution: Access Over Policy

By bringing the PrecisionOS ecosystem home, Dr. Maeso replaced passive YouTube watching with active mental rehearsal. This allowed him to arrive in the OR with the “steps” already hard-coded into his muscle memory.

The Game Changer: Personal headsets issued for at-home, 24/7 training.

Clinical Focus: Mastery of Antegrade Femoral Nails and Shoulder Arthroscopy.

Program Growth: Experience led to secured funding for all incoming residents.

Smiling man wearing glasses and checkered shirt in an office setting.

Roberto Oliveira

Founder

Over his 25 years in the gaming industry, Roberto Oliveira has been known for bringing stunning realism and high fidelity to interactive experiences.

He combines an art director’s artistic vision with solid business leadership, including experience in building art teams, creative team management, project planning, project management and business development.

Over the years, his talents have been showcased in projects for major publishers including Sony, Activision, Disney and Electronic Arts.

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Dr. Ryan Lohre

MGH Staff Surgeon

From Resident to MGH Staff Surgeon

“Prepare like it matters. Because in the OR—it does.”

The Story: The Currency of Trust

Dr. Ryan Lohre’s trajectory changed during a complex pediatric case that had already seen two failed attempts by tenured surgeons. While textbooks offered the theory, Dr. Lohre used VR to master the 3D spatial intelligence required to build a mental model of the deformity and navigate C-arm imagery in real-time.

The Solution: The 18-Minute Sandbox

The night before surgery, Dr. Lohre rehearsed the procedure four times in VR from his own home. This high-fidelity rehearsal allowed him to arrive in the OR functioning at 80-90% proficiency, compared to the typical 10-20% for a resident facing a new, complex procedure.

The Game Changer: 18 minutes of at-home VR prep for a complex pediatric case.

Clinical Focus: Spatial intelligence for C-arm interpretation and screw trajectory.

Program Growth: Transitioned from trainee to Staff Surgeon at Mass General.

Dental professional in white coat with PrecisionOS logo.

Dr. Barry McDonough

Program Director

Teaching with Surgical Efficiency

“I let the junior resident do more than ever before—and still finished on time.”

The Story: Reclaiming the OR

While at West Virginia University (WVU), Dr. Barry McDonough faced a universal challenge: balancing resident education with strict OR efficiency. By the time residents step into the OR, foundational skills like camera handling and triangulation should be second nature—not a distraction that slows down the case.

The Solution: Independent Preparation

Residents were assigned just 10 minutes of asynchronous VR training per week. This allowed them to master the “invisible” basics of arthroscopy on their own time. With an average of 17 sessions completed during the pilot, residents arrived with a mental roadmap that translated into immediate technical fluency.

The Game Changer: Asynchronous prep—residents train independently at home.

Clinical Focus: Mastery of triangulation, scope control, and anchor placement.

Program Growth: Model expanded across trauma, spine, and upper extremity.

Man in blue suit with glasses smiling in front of bookshelf.

Dr. Charlie Spieser

Orthopedic Resident

Mastering the Visuo-Spatial Gap

“VR practice shifts questioning from case generalizations to technique refinement.”

The Story: From Application to Confidence

Charlie Spieser highlights a universal resident hurdle: the high-stress transition from “book knowledge” to real-world execution. Early in training, the fear of making irreversible decisions can lead to hesitation. To bridge this gap, Charlie utilized VR as a daily resource for kinetic learning and anatomical association.

The Solution: Refining Spatial Intelligence

Unlike textbooks or passive videos, PrecisionOS allowed Charlie to practice high-stakes approaches—such as the anterior total hip—in a guided, 3D environment. This repetition provided a “safe sandbox” to identify why errors occurred, building the visuo-spatial confidence required to navigate complex anatomy before ever entering the OR.

The Game Changer: Daily Integration—normalized as an expected program resource.

Clinical Focus: Anterior Total Hip and Deltopectoral surgical approaches.

Program Growth: Nuanced Mentorship—shifting focus to specific faculty preferences.

Orthopaedic virtual reality training for junior residents in surgery.

Immersive Virtual Reality Training for a Junior Orthopaedic Surgery Resident

Andres D Maeso, DO, Michael R McDermott, DO, Jerrod A Steimle, DO

How consistent iVR training accelerates technical fluency and attending trust for first-year residents.

Executive Summary: This case study follows a first-year resident’s integration of immersive VR (iVR) into their surgical curriculum. By dedicating consistent training time to virtual modules, the resident was able to master procedural steps and receive real-time feedback in a risk-free environment before ever stepping into the operating room. The study highlights that this deliberate practice led to a “noticeable improvement in overall efficiency” and significantly increased the attending’s trust and confidence in the resident’s intraoperative capabilities.

Source Attribution: Immersive Virtual Reality Training for a Junior Orthopaedic Surgery Resident, Journal of Orthopaedic Experience & Innovation (2025).

Muscle Memory Development: The repetitive nature of immersive VR (iVR) training, combined with constant real-time feedback, allows technical surgical steps to become deep-seated muscle memory.

Measurable Efficiency Gains: Residents utilizing the platform observe a "noticeable improvement" in overall efficiency and technical proficiency when performing complex orthopedic procedures.

Accelerated Attending Trust: Preoperative rehearsal in a virtual environment significantly increases attending surgeon confidence, directly leading to increased autonomy for the resident in the operating room.

Professional man in business attire for PrecisionOS.

Danny P. Goel, médico

Director ejecutivo

A practicing surgeon and surgical educator, Dr. Goel currently practices in the Vancouver, B.C. area and also serves on the University of British Columbia’s Faculty of Medicine in the Department of Orthopedic Surgery.

He received his medical degree from the University of Manitoba, pursued his residency training in orthopedic surgery at the University of Calgary, and completed fellowship training in shoulder surgery at the University of Western Ontario and Harvard University.

Goel has co-authored more than 30 publications, and is widely sought as a presenter on surgical techniques.

Professional man smiling in a blue shirt for PrecisionOS About Us page.

Colin O'Connor

Founder

Colin O’Connor brings a proven track record as a business leader and entrepreneur, as well as expertise at developing cutting-edge technology to create immersive, high-fidelity experiences.

He has overseen and played key leadership roles in the highest echelons of the video game industry, founding companies and taking more than 16 top-tier titles to market.

He has worked at the forefront in innovating new rendering technologies in the areas of lighting, motion, particle graphics and shading that bring unprecedented realism to interactive experiences.

Step #1

Ask Delphi

Tell Delphi, your AI Attending Mentor, what you want to practice today.