Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study
Abstract Background Robots are being used in a wide range of surgical procedures. However, in clinical practice, the efficacy of orthopedic robotic-assisted treatment of femoral neck fractures is still poorly reported, particularly in terms of screw placement accuracy, femoral neck fracture healing...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-023-04070-3 |
| _version_ | 1797452021002928128 |
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| author | Xiaofei Wang Yaxin Zhang Linbing Lou Lei Xu Wenyong Fei Jihang Dai Jingcheng Wang |
| author_facet | Xiaofei Wang Yaxin Zhang Linbing Lou Lei Xu Wenyong Fei Jihang Dai Jingcheng Wang |
| author_sort | Xiaofei Wang |
| collection | DOAJ |
| description | Abstract Background Robots are being used in a wide range of surgical procedures. However, in clinical practice, the efficacy of orthopedic robotic-assisted treatment of femoral neck fractures is still poorly reported, particularly in terms of screw placement accuracy, femoral neck fracture healing rates and postoperative functional recovery. Moreover, there is a lack of comparative analysis between robot-assisted surgery and traditional surgical approaches. Purpose The purpose of this study was to compare the clinical outcomes of patients with femoral neck fractures treated with TiRobot-assisted hollow screw fixation with those of patients with femoral neck fractures treated with traditional surgical approaches. Methods This study included 112 patients with femoral neck fracture who were treated from March 2017 to October 2021 with percutaneous hollow screw internal fixation. These included 56 cases in the TiRobot-assisted surgery group and 56 cases in the standard surgery group. After at least 1 year of follow-up, the treatment outcomes of the two groups were compared, including the amount of intraoperative bleeding, the duration of intraoperative fluoroscopy, the number of guide pin positioning adjustments, the length of hospital stay, the accuracy rate of screw placement, the final Harris Hip Score, the fracture healing rate, and the rate of femoral head necrosis. Statistical analysis software was used to process and analyze the result. Results The TiRobot-assisted group had a statistically significant improvement over the control group in terms of intraoperative bleeding, the duration of intraoperative fluoroscopy, the number of guide pin positioning adjustments, length of hospital stay, accuracy of screw placement and incidence of femoral head necrosis (P < 0.05). There was no statistically significant difference in time to surgery, final Harris hip score and fracture healing rate (P > 0.05). Conclusion This study shows that TiRobot-assisted surgery has the advantages of short hospital stay, high safety, minimally invasive, high success rate of nail placement, and can reduce the amount of intraoperative radiation and the incidence of femoral head necrosis, thus achieving satisfactory clinical outcomes, and is worthy of clinical promotion. |
| first_indexed | 2024-03-09T15:02:45Z |
| format | Article |
| id | doaj.art-2b9921a1211c4b4cbb6c7796282bf8c6 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-09T15:02:45Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-2b9921a1211c4b4cbb6c7796282bf8c62023-11-26T13:48:00ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-08-011811910.1186/s13018-023-04070-3Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort studyXiaofei Wang0Yaxin Zhang1Linbing Lou2Lei Xu3Wenyong Fei4Jihang Dai5Jingcheng Wang6Dalian Medical UniversityDalian Medical UniversityDalian Medical UniversityDepartment of Orthopedics, Northern Jiangsu People’s Hospital, Clinical Medical College, Yangzhou UniversityDepartment of Orthopedics, Northern Jiangsu People’s Hospital, Clinical Medical College, Yangzhou UniversityDepartment of Orthopedics, Northern Jiangsu People’s Hospital, Clinical Medical College, Yangzhou UniversityDepartment of Orthopedics, Northern Jiangsu People’s Hospital, Clinical Medical College, Yangzhou UniversityAbstract Background Robots are being used in a wide range of surgical procedures. However, in clinical practice, the efficacy of orthopedic robotic-assisted treatment of femoral neck fractures is still poorly reported, particularly in terms of screw placement accuracy, femoral neck fracture healing rates and postoperative functional recovery. Moreover, there is a lack of comparative analysis between robot-assisted surgery and traditional surgical approaches. Purpose The purpose of this study was to compare the clinical outcomes of patients with femoral neck fractures treated with TiRobot-assisted hollow screw fixation with those of patients with femoral neck fractures treated with traditional surgical approaches. Methods This study included 112 patients with femoral neck fracture who were treated from March 2017 to October 2021 with percutaneous hollow screw internal fixation. These included 56 cases in the TiRobot-assisted surgery group and 56 cases in the standard surgery group. After at least 1 year of follow-up, the treatment outcomes of the two groups were compared, including the amount of intraoperative bleeding, the duration of intraoperative fluoroscopy, the number of guide pin positioning adjustments, the length of hospital stay, the accuracy rate of screw placement, the final Harris Hip Score, the fracture healing rate, and the rate of femoral head necrosis. Statistical analysis software was used to process and analyze the result. Results The TiRobot-assisted group had a statistically significant improvement over the control group in terms of intraoperative bleeding, the duration of intraoperative fluoroscopy, the number of guide pin positioning adjustments, length of hospital stay, accuracy of screw placement and incidence of femoral head necrosis (P < 0.05). There was no statistically significant difference in time to surgery, final Harris hip score and fracture healing rate (P > 0.05). Conclusion This study shows that TiRobot-assisted surgery has the advantages of short hospital stay, high safety, minimally invasive, high success rate of nail placement, and can reduce the amount of intraoperative radiation and the incidence of femoral head necrosis, thus achieving satisfactory clinical outcomes, and is worthy of clinical promotion.https://doi.org/10.1186/s13018-023-04070-3Minimally invasiveOrthopedic robotFemoral neck fractureInternal fixation |
| spellingShingle | Xiaofei Wang Yaxin Zhang Linbing Lou Lei Xu Wenyong Fei Jihang Dai Jingcheng Wang Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study Journal of Orthopaedic Surgery and Research Minimally invasive Orthopedic robot Femoral neck fracture Internal fixation |
| title | Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study |
| title_full | Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study |
| title_fullStr | Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study |
| title_full_unstemmed | Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study |
| title_short | Robotic-assisted systems for the safe and reliable treatment of femoral neck fractures: retrospective cohort study |
| title_sort | robotic assisted systems for the safe and reliable treatment of femoral neck fractures retrospective cohort study |
| topic | Minimally invasive Orthopedic robot Femoral neck fracture Internal fixation |
| url | https://doi.org/10.1186/s13018-023-04070-3 |
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