Evidence map›Paper›PMID 42324410›Full record

ArticleJournal of robotic surgery2026

Synergistic effects of robot-assisted surgery and enhanced recovery after surgery protocols on outcomes of femoral neck fracture fixation: a comparative cohort study.

Yanhong Chen, Xianbin Li, Songyu Zhang

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Yanhong ChenDepartment of Orthopedic Nursing, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, 211100, Jiangsu, China.
Xianbin LiDepartment of Orthopedic, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, 211100, Jiangsu, China.
Songyu ZhangDepartment of Rehabilitation Medicine, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, 211100, Jiangsu, China. zhangsongyu961214@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate the synergistic effects of robotic-assisted (RA) technology and Enhanced Recovery After Surgery (ERAS) protocols on the surgical quality and clinical outcomes of femoral neck fracture (FNF) fixation. A total of 226 patients who underwent cannulated compression screw fixation for FNF were retrospectively analyzed and categorized into four groups: Freehand surgery with Routine Orthopedic Care (FH + ROC, n = 60), Freehand surgery with ERAS (FH+ERAS, n = 57), Robot-assisted surgery with ROC (RA + ROC, n = 57), and RA+ERAS (n = 52). Perioperative data, radiological accuracy, pain scores, functional recovery, and complication rates were compared. The RA group demonstrated superior intraoperative performance, with significantly less blood loss, fewer fluoroscopy exposures, and fewer guide needle adjustments compared to the FH groups. Radiographic analysis confirmed that the RA group achieved the highest screw placement accuracy. Regarding clinical outcomes, both ERAS groups showed significantly lower postoperative VAS scores and complication rates compared to the ROC group. Notably, the RA+ERAS group achieved the optimal functional recovery, with the highest Harris Hip Scores and the shortest full weight-bearing time, significantly outperforming other groups. The combined application of RA and ERAS is a reliable method for treating FNFs with cannulated screws. It significantly outperforms FH and ROC in terms of screw placement accuracy, postoperative recovery, and functional recovery.

Indexed as

Enhanced Recovery After SurgeryFemoral Neck FracturesFracture Fixation, InternalRobotic Surgical ProceduresAgedAged, 80 and overBone ScrewsCohort StudiesFemaleHumansMaleMiddle AgedRecovery of FunctionRetrospective StudiesTreatment OutcomeEnhanced recovery after surgeryFemoral neck fractureHip fractureRobot-assisted

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.