The Effect of 3D Models Created with Augmented Reality on Diagnosis and Orthopedic Resident Education of Tibial Plateau Fractures

Aim: Computed tomography (CT) is the gold standard imaging for the diagnosis of intra-articular fractures such as tibial plateau fractures that may show different fracture patterns.The aim of the study was to compare the diagnostic accuracy (DA) and response time (RT) between new technologies such as augmented reality (AR), CT and 3-dimensional CT (3D-CT): in the classification of tibial plateau fractures in orthopedic assistant education and daily practice. Materials and Methods:The orthopedic residents receiving training in our clinic were divided into 2 groups according to their training period: 2.5 years and below and above 2.5 years.Nine separate tibial plateau fractures were selected according to the Schatzker and Luo classification.DA, RT and method confidence of each resident were measured with a double-blind questionnaire.Results: DA averages of the participants were examined, and it was seen that DA for CT was 67.8%, for 3D-CT, it was 52.9% and for AR, it was 64%.When the correct RT were examined, the average RT-AR was 49.9 (11.8)sec, RT-3D 58 (16.7)sec and RT-CT 80 (23.8)sec.When the RT values of the AR models were examined, the average RT-AR was 41.6 (8.49) sec in the SEN group and 58.2 (8.42) sec in the JUN RT-AR. Conclusion:In this study, it was shown that the DA of AR in the diagnosis and treatment planning of tibial plateau fractures was similar to conventional CT and superior to 3D-CT.The DA rate of novice assistants was lower and the correct diagnosis time was longer, and similar results were obtained in all 3 groups.