ArticleScientific reports2025
Robot-assisted PFNA surgery improves clinical outcomes in the treatment of unstable femoral intertrochanteric fractures in elderly patients compared with traditional PFNA surgery.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Perioperative Anemia and Transfusion Management in Older Adults with Osteoporotic Hip Fractures: A Narrative Review of Current Evidence and Emerging Strategies.Clinical interventions in aging · 2026Review
- Horizontal positioning for accurate lateral helical blade insertion in proximal femoral nail antirotation (PFNA) for elderly osteoporotic patients.Frontiers in medicine · 2026Article
- Robot-assisted versus conventional percutaneous screw fixation in calcaneal fractures: a retrospective analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Evaluating Postoperative Hidden Blood Loss in Proximal Femoral Nail Anti-Rotation Fixation: The Role of Greater Trochanter Fracture Comminution.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
To assess the clinical outcomes of robot-assisted proximal femoral nail antirotation (PFNA) surgery in elderly patients with unstable femoral intertrochanteric fractures (UFIFs). 151 patients who underwent UFIF and PFNA surgery between January 2020 and May 2024 were analyzed retrospectively. Of these, 78 patients were treated with traditional PFNA surgery (control group), and 73 patients were treated with robot-assisted PFNA surgery (observation group). The observed indicators included visual analog pain scale (VAS) score, surgery time, PFNA operation time, tip-apex distance (TAD), intraoperative blood loss (IBL), perioperative hidden blood loss (PHBL), postoperative allogeneic blood transfusion rate (PABTR), hospital stay, time to first independent walking with crutches postoperatively, time to independent walking without crutches, and Harris hip function score (HHFS). There were no statistically significant differences in general condition between the two groups before surgery. Surgery time, PFNA operation time, IBL, PHBL, PABTR, TAD, hospital stay, time to first independent walking with crutches postoperatively, time to independent walking without crutches, VAS score, and HHFS were significantly improved in the observation group compared with the control group. Thus, compared with traditional PFNA surgery for UFIF in elderly patients, robot-assisted PFNA yields better outcomes in terms of the quality of PFNA surgery, surgical trauma, conserving clinical blood resources, and patient recovery.
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