Evidence map›Paper›PMID 40198393›Full record

SynthesisLasers in medical science2025

Efficacy and safety of laser-assisted techniques in orthopedic surgery: a meta-analysis of randomized controlled trials.

Shahtajarab Mohammad Saltanat, Mohammed Shahrian Millat, Ramy Elemam, George Ekanem

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Lasers in medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Shahtajarab Mohammad SaltanatBroomfield Hospital, Chelmsford, UK. saltanatmohammadshahtajarab@gmail.com.
Mohammed Shahrian MillatBroomfield Hospital, Chelmsford, UK.
Ramy ElemamBroomfield Hospital, Chelmsford, UK.
George EkanemBroomfield Hospital, Chelmsford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In orthopedic surgery, laser-assisted procedures have shown great promise as adjuncts, with the potential to enhance patient outcomes, decrease tissue damage, and increase precision. However, a thorough evaluation of their safety and effectiveness is essential. The purpose of this meta-analysis is to thoroughly assess the data from randomized controlled trials (RCTs) to ascertain the possible dangers and clinical advantages of using laser-assisted techniques during orthopedic procedures. We conducted a comprehensive literature search across PubMed, Cochrane Library, Embase, and Web of Science, covering publications until April 2024. RCTs evaluating laser-assisted techniques in orthopedic surgery were included if they reported on operative time, blood loss, postoperative pain, functional outcomes, complication rates, or patient satisfaction. Data were extracted by two independent reviewers and analyzed using SPSS software. Methodological quality was assessed using the Cochrane Risk of Bias tool. Twenty-three RCTs, involving a total of 2,032 patients, met the inclusion criteria. Laser-assisted techniques significantly reduced operative time (MD - 15.32 min; 95% CI - 22.45 to - 8.19; p < 0.001) and postoperative pain (MD - 1.27; 95% CI - 1.91 to - 0.63; p < 0.001). Although the reduction in blood loss did not reach statistical significance (MD - 52.18 mL; 95% CI - 114.32 to 9.96; p = 0.10), the trend suggested potential benefits. Functional outcomes and patient satisfaction were significantly improved, while complication rates were comparable to conventional methods (RR 0.98; 95% CI 0.82 to 1.17; p = 0.84). Publication bias was assessed and found to be minimal. Significant decreases in operating time and postoperative pain, as well as enhanced patient satisfaction and functional results, are linked to laser-assisted orthopedic surgery procedures. The trend points to a possible benefit even though the decrease in blood loss was not statistically significant. These results demonstrate the advantages and safety of laser technology and justify its use in orthopedic surgery. To standardize procedures and improve these methods in various surgical settings, more study is required.

Indexed as

Laser TherapyOrthopedic ProceduresBlood Loss, SurgicalHumansOperative TimePatient SatisfactionPostoperative PainRandomized Controlled Trials as TopicTreatment OutcomeFunctional outcomesLaser-assisted surgeryMeta-analysisOperative timeOrthopedic surgeryPatient satisfactionPostoperative painRandomized controlled trials

Identifiers

What OpenQuestion holds

Textmetadata
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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.