Evidence map›Paper›PMID 34765903›Full record

ArticleOTA international : the open access journal of orthopaedic trauma2021

Robot-assisted fracture fixation in orthopaedic trauma surgery: a systematic review.

Henk Jan Schuijt, Dennis Hundersmarck, Diederik Pieter Johan Smeeing, Detlef van der Velde, Michael John Weaver

Open access · goldAbstract read
In one paragraph

Article in OTA international : the open access journal of orthopaedic trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 29 citations in OpenAlex.

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  9. Robot-Assisted Reduction of the Ankle Joint via Multi-Body 3D-2D Image Registration.IEEE transactions on medical robotics and bionics · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Henk Jan SchuijtHarvard Medical School Orthopaedic Trauma Initiative, Brigham & Women's Hospital, Boston, Massachusetts.
Dennis HundersmarckHarvard Medical School Orthopaedic Trauma Initiative, Massachusetts General Hospital, Boston, Massachusetts.
Diederik Pieter Johan SmeeingDepartment of Surgery, Sint Antonius Hospital, Nieuwegein, The Netherlands.
Detlef van der VeldeDepartment of Surgery, Sint Antonius Hospital, Nieuwegein, The Netherlands.
Michael John WeaverHarvard Medical School Orthopaedic Trauma Initiative, Brigham & Women's Hospital, Boston, Massachusetts.
St. Antonius Ziekenhuis · NLHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the applications of robot-assisted surgery and its effect on surgical outcomes in orthopaedic trauma patients. DATA SOURCES: A search was performed in PubMed and Embase for articles in English, Dutch, German, or French, without restrictions on follow-up times, study size, or year of publication. STUDY SELECTION: Studies were included if they investigated patients undergoing robot-assisted fracture fixation surgery for orthopaedic trauma. DATA EXTRACTION: Outcomes studied were operating time, fluoroscopy time/frequency, complications, functional outcomes, intraoperative blood loss, fracture healing, and screw placement accuracy. Critical appraisal was done by using the Methodological Index for Non-Randomized Studies. DATA SYNTHESIS: Narrative review.

conclusionsA total of 3832 hits were identified with the search and 8 studies were included with a combined total of 437 included patients, 3 retrospective cohort studies, 2 prospective cohort studies, 1 cohort study not otherwise specified, 1 case series, and 1 randomized controlled trial. Four studies investigated pelvic ring fractures, 3 studies investigated femur fractures, and 1 study investigated scaphoid fractures. Seven investigated percutaneous screw fixation and 1 studied intramedullary nail fixation. One robotic system was used across all studies, the TiRobot, and all procedures were performed in China. The limited evidence suggests that that robot-assisted orthopaedic trauma surgery may reduce operating time, use of fluoroscopy, intraoperative blood loss, and improve screw placement accuracy, but the overall quality of evidence was low with a high risk of bias. Robot-assisted fracture fixation does not appear to lead to better functional outcomes for the patient.

Indexed as

fracture fixationorthopaedic traumarobot-assistedsystematic reviewtrauma surgery

Identifiers

PMID34765903
PMCPMC8575426
OpenAlexW3203516539

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.