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A virtual training system has been developed to train novice surgeons on using the new jig and fixture in a knee replacement surgery. In this study, we described how a virtual hand was employed in a Virtual Knee Replacement Surgery Training System. The virtual hand is equipped with HOMER-G, a selection and manipulation technique that combines the Arm-extension and Ray-casting technique for easy selection and manipulation of virtual object with the virtual grasping capability during selection task. The virtual jig and fixture are selected using Raycasting technique and the arm extension technique of HOMER-G will help to manipulate the object. The virtual hand’s movement is controlled by a data glove and Flock of Birds tracking device. HOMER-G has the grasping capability that makes the manipulation of object looks more natural.

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