Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic education

Abstract Background Three-dimensional (3D) visualization has become increasingly prevalent in orthopedic education to tackle the distinct anatomical challenges of the field. However, there is a conspicuous lack of systematic reviews that thoroughly evaluate both the advantages and drawbacks of integ...

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Main Authors: Ting Li, Yidan Hu, Ruohong Song, Hangyu Liu, Xin Gao, Fei Wang, Chengwei Xiao, Xilin Liu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-06654-5
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author Ting Li
Yidan Hu
Ruohong Song
Hangyu Liu
Xin Gao
Fei Wang
Chengwei Xiao
Xilin Liu
author_facet Ting Li
Yidan Hu
Ruohong Song
Hangyu Liu
Xin Gao
Fei Wang
Chengwei Xiao
Xilin Liu
author_sort Ting Li
collection DOAJ
description Abstract Background Three-dimensional (3D) visualization has become increasingly prevalent in orthopedic education to tackle the distinct anatomical challenges of the field. However, there is a conspicuous lack of systematic reviews that thoroughly evaluate both the advantages and drawbacks of integrating 3D with problem-based learning (3D + PBL). Methods A rigorous search of English databases (Cochrane Library, Embase, PubMed, Scopus, and Web of Science) and Chinese databases (National Knowledge Infrastructure: CNKI, Chongqing VIP: VIP, and Wan Fang) were performed up to July 2024 to identify relevant studies. Relevant studies were selected based on established eligibility criteria, with clinical data carefully extracted for analysis. Eighteen randomized controlled trials involving a total of 1,077 participants were included in the analysis. Results The findings indicated that 3D + PBL instruction significantly outperformed traditional lecture-based learning (LBL) in terms of theoretical knowledge (SMD = 1.62, 95% CI: 1.14–2.10, P < 0.00001) and practical operational scores (SMD = 2.29, 95% CI: 1.41–3.16, P < 0.00001). Furthermore, students exposed to 3D + PBL teaching exhibited a significantly better understanding of orthopedic anatomical structures compared to those receiving LBL (SMD = 1.18, 95% CI: 0.71–1.65, P < 0.00001). Additionally, students in the 3D + PBL group achieved higher theoretical grades (OR = 2.95, 95% CI: 1.57–5.55, P = 0.0008) and reported greater overall satisfaction (OR = 3.26, 95% CI: 1.91–5.54, P < 0.0001) compared to their LBL counterparts. Conclusion Given the unique demands of orthopedic education, 3D + PBL emerges as a highly effective teaching method. It not only improves students' theoretical scores but also enhances their communication skills and comprehension of complex concepts. Furthermore, students exhibit greater satisfaction with this approach.
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spelling doaj-art-29e26bec7ed24c35809e3a3be394e4c42025-01-19T12:27:29ZengBMCBMC Medical Education1472-69202025-01-0125111410.1186/s12909-025-06654-5Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic educationTing Li0Yidan Hu1Ruohong Song2Hangyu Liu3Xin Gao4Fei Wang5Chengwei Xiao6Xilin Liu7Department of Orthopedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaDepartment of Orthopedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaDepartment of Cardiology, Sichuan Tianfu New District People’s HospitalDepartment of Orthopedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaDepartment of Orthopedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaDepartment of Orthopedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaDepartment of Orthopedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaDepartment of Orthopedics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaAbstract Background Three-dimensional (3D) visualization has become increasingly prevalent in orthopedic education to tackle the distinct anatomical challenges of the field. However, there is a conspicuous lack of systematic reviews that thoroughly evaluate both the advantages and drawbacks of integrating 3D with problem-based learning (3D + PBL). Methods A rigorous search of English databases (Cochrane Library, Embase, PubMed, Scopus, and Web of Science) and Chinese databases (National Knowledge Infrastructure: CNKI, Chongqing VIP: VIP, and Wan Fang) were performed up to July 2024 to identify relevant studies. Relevant studies were selected based on established eligibility criteria, with clinical data carefully extracted for analysis. Eighteen randomized controlled trials involving a total of 1,077 participants were included in the analysis. Results The findings indicated that 3D + PBL instruction significantly outperformed traditional lecture-based learning (LBL) in terms of theoretical knowledge (SMD = 1.62, 95% CI: 1.14–2.10, P < 0.00001) and practical operational scores (SMD = 2.29, 95% CI: 1.41–3.16, P < 0.00001). Furthermore, students exposed to 3D + PBL teaching exhibited a significantly better understanding of orthopedic anatomical structures compared to those receiving LBL (SMD = 1.18, 95% CI: 0.71–1.65, P < 0.00001). Additionally, students in the 3D + PBL group achieved higher theoretical grades (OR = 2.95, 95% CI: 1.57–5.55, P = 0.0008) and reported greater overall satisfaction (OR = 3.26, 95% CI: 1.91–5.54, P < 0.0001) compared to their LBL counterparts. Conclusion Given the unique demands of orthopedic education, 3D + PBL emerges as a highly effective teaching method. It not only improves students' theoretical scores but also enhances their communication skills and comprehension of complex concepts. Furthermore, students exhibit greater satisfaction with this approach.https://doi.org/10.1186/s12909-025-06654-5Meta-analysisProblem-based learningThree-dimensionalOrthopedics
spellingShingle Ting Li
Yidan Hu
Ruohong Song
Hangyu Liu
Xin Gao
Fei Wang
Chengwei Xiao
Xilin Liu
Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic education
BMC Medical Education
Meta-analysis
Problem-based learning
Three-dimensional
Orthopedics
title Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic education
title_full Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic education
title_fullStr Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic education
title_full_unstemmed Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic education
title_short Unveiling the ultimate advantage: a meta-analysis of 3D visualization and problem-based learning in orthopedic education
title_sort unveiling the ultimate advantage a meta analysis of 3d visualization and problem based learning in orthopedic education
topic Meta-analysis
Problem-based learning
Three-dimensional
Orthopedics
url https://doi.org/10.1186/s12909-025-06654-5
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