Evidence map›Paper›PMID 39506774›Full record

ArticleJournal of orthopaedic surgery and research2024

Robot-assisted technique can achieve accurate screw placement in four-corner fusion and reduce operative difficulty: a cadaver study.

Zhixin Wang, Bo Liu, Zhe Yi, Ke Xu, Shijie Jia, Qianqian Wang, Yaobin Yin

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In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Zhixin WangDepartment of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, No.31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.
Bo LiuDepartment of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, No.31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.
Zhe YiDepartment of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, No.31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.
Ke XuDepartment of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, No.31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.
Shijie JiaDepartment of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, No.31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.
Qianqian WangBeijing Research Institute of Orthopedics, No. 31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China.
Yaobin YinDepartment of Hand Surgery, Beijing Jishuitan Hospital, Capital Medical University, No.31, Xin Jie Kou East Street, Xi Cheng District, Beijing, 100035, China. yinyaobin586@163.com.

Funding

Beijing Hospitals Authority "YangFan 3.0" Medical-Engineering Integration Cultivation Project No. YGLX202314Beijing JST Research Funding No.2023OSR-GCZX202201, No.YGQ-202210Beijing Natural Science Foundation-Joint Funds of Haidian Original Innovation Project L232056National Natural Science Foundation of China No. 82272581
6 · The paper itself

Abstract

backgroundThe purpose of this study is to explore the feasibility and accuracy of a robot-assisted technique in four-corner fusion compared with traditional freehand operation.

methodsTwenty cadaver specimens were randomly assigned to the robot-assisted group and freehand groups. Three screws were placed percutaneously to fix the capitate-lunate joint, lunate-triquetrum joint, and triquetrum-hamate-capitate joint in each specimen by robot-assisted or freehand technique. The offset between the actual and planned screw positions was determined by merging the images of intraoperative and postoperative CT scans in the robot-assisted group. The centrality of the screw, time-consuming, drilling attempts, and radiation exposure were compared between the two groups.

resultsThe mean offset between the actual and planned screw position was 1.09 (SD: 0.56) mm. The offset at the start point of the screw was significantly lower than that at the endpoint. There was no significant difference in the centrality of the screws, surgical time between the two groups. The number of drilling attempts and the radiation dose received by surgeons were significantly lower in the robot-assisted group.

conclusionsAlthough there was no significant difference in screw centrality between the two groups, the slight offset between the actual and planned screw positions confirmed the feasibility of the robot-assisted technique in four-corner fusion. The robot-assisted technique has advantages in reducing the difficulty of surgery and protecting the surgeon from exposure to large doses of radiation.

Indexed as

Bone ScrewsCadaverRobotic Surgical ProceduresArthrodesisFeasibility StudiesFemaleHumansMaleWrist JointFour-corner arthrodesisFour-corner fusionOrthopaedic robotRobot-assisted techniqueRobotic surgical procedures

Identifiers

PMID39506774
PMCPMC11542212

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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.