ArticleInternational orthopaedics2023
Robot-assisted vs traditional percutaneous freehand for the scaphoid fracture treatment: a retrospective study.
Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.
- Robot-assisted scaphoid screw fixation versus free-hand technique for scaphoid fractures: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Comparing the Safety and Efficacy of Robot-Assisted Versus Conventional Fluoroscopy-Guided Techniques in the Treatment of Scaphoid Fractures: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2026Pooled it
- A review of digital orthopedic techniques in pre- and intra-operative management of scaphoid fracture.EFORT open reviews · 2026Article
- Robot-assisted percutaneous cannulated screw treatment versus traditional surgical reduction fixation in the treatment of Hawkins type Ⅱ talus fracture: a retrospective study of an average two-year follow-up.BMC musculoskeletal disorders · 2026Article
- Functional outcome after percutaneous screw fixation of acute scaphoid fracture.Bioinformation · 2025Article
- Robot-assisted technique can achieve accurate screw placement in four-corner fusion and reduce operative difficulty: a cadaver study.Journal of orthopaedic surgery and research · 2024Article
- Arthroscopic Bone Grafting and Robot-assisted Fixation for Scaphoid Nonunion.Orthopaedic surgery · 2024Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to assess the efficiency, safety, and accuracy of cannulated screw fixation using a robot-assisted method compared with a traditional percutaneous freehand method.
methodsThis retrospective clinical study included 18 patients with scaphoid fracture who underwent cannulated screw fixation by robot-assisted technique or traditional percutaneous freehand technique from June 2018 to June 2020. All patients were divided into the robot-assisted group (9 patients) or the traditional surgery group (9 patients). The operation time, blood loss, number of intra-operative fluoroscopies, fracture healing time, Mayo wrist function score, and screw implantation accuracy were recorded in the two groups.
resultsThe average age of the robot-assisted group was 37.9 ± 10.6 years (with a range of 30 to 52 years), there were eight males and one female, and there were six cases of scaphoid fracture on the right side and three on the left side. The average pre-operative time was 2.8 ± 0.7 days (ranging from 1 to 3 days). The average age of the traditional surgery group was 31.6 ± 6.8 years (with a range of 20 to 45 years), there were eight males and one female, and there were five cases of scaphoid fracture on the right side and four on the left side. The average pre-operative time was 2.1 ± 0.8 days (with a range of 2 to 4 days). The number of intra-operative fluoroscopies was 24.4 ± 3.5 in the traditional surgery group, whereas it was only 10.1 ± 1.9 in the robot-assisted group, which was significantly lower (P < 0.05). The average operation time of the traditional operation group was 48.4 ± 12.2 min, and that of the robot-assisted group was 32.6 ± 4.2 minutes, which was significantly shorter (P < 0.05). The angles between the actual screw position and the central axis of the scaphoid on both the coronal and sagittal post-operative CT images were 8.3° ± 2.3° and 8.8° ± 1.6° for the traditional operation group and 3.8° ± 0.8° and 4.3° ± 1.2° for the robot-assisted group, so the accuracy of the robot-assisted group was significantly higher (P < 0.05). There were no significant differences between the two groups in wrist function recovery or fracture healing time.
conclusionRobot-assisted treatment of scaphoid fracture is more accurate than traditional freehand technology, with shorter operation time and fewer intra-operative fluoroscopies. There is no difference between the two surgical techniques in intra-operative bleeding, post-operative fracture healing, or functional recovery. Robot-assisted surgery is a safe, effective, and accurate method for treating scaphoid fracture.
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