TiRobot-assisted versus freehand femoral neck system placement in the treatment of femoral neck fractures: a systematic review and meta-analysis.

Yupei Dai, Kaiyong Wang, Guohang Shen, Yang Chen, Anneng Hu, Qunhua Jin

Abstract readSystematic ReviewMeta-AnalysisComparative Study

In one paragraph

Synthesis in Journal of robotic surgery, 2025. 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

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

1 citing paper in PubMed.

Clinical efficacy of personalized 3D-printed modular navigation templates in assisting Femoral Neck System implantation for femoral neck fractures in young and middle-aged adults.BMC musculoskeletal disorders · 2025
Trial

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

6 authors.

Yupei Dai *The Third Ward of Orthopaedic Department, General Hospital of Ningxia Medical University, 804 Shengli South Street, Hui Autonomous Region, Yinchuan, Ningxia, 750004, People's Republic of China.

Kaiyong Wang *The Third Ward of Orthopaedic Department, General Hospital of Ningxia Medical University, 804 Shengli South Street, Hui Autonomous Region, Yinchuan, Ningxia, 750004, People's Republic of China.

Guohang ShenThe Third Ward of Orthopaedic Department, General Hospital of Ningxia Medical University, 804 Shengli South Street, Hui Autonomous Region, Yinchuan, Ningxia, 750004, People's Republic of China.

Yang ChenThe Third Ward of Orthopaedic Department, General Hospital of Ningxia Medical University, 804 Shengli South Street, Hui Autonomous Region, Yinchuan, Ningxia, 750004, People's Republic of China.

Anneng HuDepartment of Urology, Affiliated Hospital of North Sichuan Medical College, No. 1 Mao Yuan South Road, Shunqing, Nanchong, 637000, Sichuan, People's Republic of China.

Qunhua JinThe Third Ward of Orthopaedic Department, General Hospital of Ningxia Medical University, 804 Shengli South Street, Hui Autonomous Region, Yinchuan, Ningxia, 750004, People's Republic of China. 13326380467@163.com.

Funding

Autonomous Region Major Scientific and Technological; Achievements Transformation Project No. 2023CJE09037Key R&D Project of Autonomous Region No.2023BEG02018Ningxia Medical University General Hospital "Medical Engineering Special" No. NYZYYG-001

6 · The paper itself

Abstract

The purpose of this study is to assess the safety and effectiveness of TiRobot-assisted treatment for femoral neck fractures, in comparison to traditional freehand treatment methods. Throughout the research process, we conducted an extensive literature search across numerous databases, including PubMed, EMBASE, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), CQVIP, and Wanfang. Based on the literature screening criteria, we selected six studies, encompassing 358 cases of femoral neck fracture patients, for this meta-analysis. The study evaluated the effectiveness of TiRobot-assisted versus freehand placement of the Femoral Neck System (FNS). The results indicate that the TiRobot-assisted group demonstrated significant advantages in several surgical parameters. Specifically, the robot-assisted group showed superior outcomes regarding the frequency of guide pin insertion, frequency of X-ray fluoroscopy, operative time, invasive fixation time, intraoperative blood loss and incision length (MD < 0, p < 0.05). Furthermore, there was a significant difference in the Harris score, between the TiRobot-assisted group and the traditional freehand group (MD > 0, p < 0.05). However, the two groups had no significant differences concerning postoperative complications, fracture healing time, and fracture healing rate (p > 0.05). In conclusion, the comprehensive analysis suggests that the TiRobot-assisted technique has distinct advantages over the traditional freehand technique in treating femoral neck fractures. TiRobot-assisted technology, owing to its enhanced safety and efficacy, minimizes surgical trauma and expedites postoperative recovery.

Indexed as

Femoral Neck FracturesFracture Fixation, InternalRobotic Surgical ProceduresBlood Loss, SurgicalFemaleHumansMaleOperative TimePostoperative ComplicationsTreatment OutcomeFemoral neck fractureFemoral neck systemMeta-analysisRobot-assisted surgeryTiRobot

Identifiers

PMID39755993

DOI10.1007/s11701-024-02204-1

What OpenQuestion holds

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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.