Trial reportInternational journal of surgery (London, England)2025
Superior accuracy of femoral bone tunnel drilling in robot-assisted anterior cruciate ligament reconstruction: a multicenter, randomized, controlled trial.
Trial report in International journal of surgery (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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.
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Who cites it
3 citing papers in PubMed.
- An exploratory bibliometric analysis of robot-assisted ligament repair and reconstruction surgery worldwide.Journal of robotic surgery · 2026Article
- CT-Based Tunnel Position Analysis and its Correlation with Residual Instability after Anterior Cruciate Ligament Reconstruction.Journal of orthopaedic case reports · 2026Article
- ACL reconstruction in football players: A nationwide Swedish registry study of anteromedial versus transtibial femoral tunnel techniques.Journal of experimental orthopaedics · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the efficacy and safety for bone tunnel drilling in anatomic anterior cruciate ligament (ACL) reconstruction with the assistance of a surgical navigation robot system.
methodsA total of 79 patients were randomized to either surgical navigation robot group (robot group, n = 39) or traditional handheld locator group (control group, n = 40). The robot group underwent anatomic ACL reconstruction using a surgical navigation robot, while the control group underwent the procedure using a traditional handheld locator. Postoperative three-dimensional computed tomography was used to measure the tibial and femoral tunnel position, as well as the tibial and femoral tunnel length. The success rate of femoral tunnel positioning was defined as the proportion of cases in which the femoral tunnel was placed accurately within the ideal anatomical position.
resultsThe success rate of femoral tunnel positioning in the robot group was significantly higher than that in the control group (82.1% vs 50%, P = 0.003). The surgical time in the robot group was significantly longer than that in the control group (122.8 min ± 34.9 min vs 84.0 min ± 28.3 min, P = 0.05). The incidence rate of adverse events did not show statistical significance between the two groups ( P = 0.830). There were no adverse events associated with the instruments or any serious adverse events, and no patients withdrew from the trial due to adverse events.
conclusionsThe success rate for femoral tunnel positioning in anatomic ACL reconstruction was higher with surgical navigation robots compared to the traditional handheld locator. Surgical navigation robot systems are safe tools in anatomic ACL reconstruction surgery.
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