Evidence map›Paper›PMID 40913298›Full record

ArticleVeterinary surgery : VS2026

Use of image-guided robotic-assisted drilling for transcondylar screw placement in the canine humerus.

Joshua T Kershaw, Daniel E Larby, Fulvio Forni, Matthew J Allen

Abstract read
In one paragraph

Article in Veterinary surgery : VS, 2026. 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.

  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

4 authors.

Joshua T KershawDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Daniel E LarbyDepartment of Engineering, University of Cambridge, Cambridge, UK.
Fulvio ForniDepartment of Engineering, University of Cambridge, Cambridge, UK.
Matthew J AllenDepartment of Veterinary Medicine, University of Cambridge, Cambridge, UK.

Funding

Department of Clinical Veterinary Medicine, University of CambridgeUniversity of Cambridge Department of Engineering
6 · The paper itself

Abstract

objectiveTo determine if a novel robotic system has comparable positional and angular accuracy to that achievable with patient-specific guides (PSG) when used for transcondylar screw (TCS) placement in the canine humerus. STUDY

designExperimental laboratory study. SAMPLE POPULATION: A total of 32 synthetic humeral models (16 per group).

methodsBone models were three-dimensional (3D)-printed and drilled with the aid of a custom PSG or with the assistance of an image-guided surgical robot. A 2.5-mm hole was drilled medial to lateral and the entry point, exit point and angular trajectory of the drill hole were measured on postoperative computed tomography (CT) scans. Absolute differences between planned and actual positions and trajectories were compared between PSG and Robot groups.

resultsNone of the drill holes in this study violated the articular surface of the humerus. Entry point positioning was significantly more accurate in the PSG group, but drill hole trajectories (angulation) were more accurate in the Robot group. Exit point positioning was similar in the two groups.

conclusionRobotic assistance enables safe placement of drill holes for TCS. PSG enable more accurate drill entry, but robotic assistance allows for more accurate overall drill hole trajectory. CLINICAL SIGNIFICANCE: Robotic assistance allows for accurate and safe drilling of screw holes for TCS placement in the humerus. The robotic procedure allows for a more limited surgical exposure, but the technical feasibility and outcomes associated with this approach should now be evaluated in cadavers before moving to clinical evaluation in live patients.

Indexed as

Bone ScrewsFracture Fixation, InternalHumerusRobotic Surgical ProceduresSurgery, Computer-AssistedAnimalsDogsTomography, X-Ray Computed

Identifiers

PMID40913298
PMCPMC12810435

What OpenQuestion holds

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Registered trials

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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.