BMC Musculoskelet Disord. 2026 Jun 5. doi: 10.1186/s12891-026-10048-z. Online ahead of print.
ABSTRACT
PURPOSE: This study aimed to evaluate and compare the efficiency, safety and accuracy of robot-assisted internal fixation and traditional freehand percutaneous screw in talar neck fracture treatment.
METHODS: This study included 23 patients in the robot-assisted group and 23 patients in the traditional group. Age, injured side, average post-operative follow-up time, time from injury to surgery, operation time, intraoperative blood loss, intraoperative fluoroscopic dose, fracture healing time, American Foot and Ankle Surgery Association (AOFAS) ankle-hindfoot score, Visual Analogue Scale (VAS) score and 12-item Short-Form Survey (SF-12) score were recorded and compared.
RESULTS: This study revealed no statistical difference in baseline characteristics between the two groups, as well as the average post-operative follow-up time, injury to operation time, intraoperative blood loss, fracture healing time, VAS score, 12-item Short-Form Survey (SF-12) score and AOFAS score (P > 0.05). A significant difference was found between the robot-assisted group and the traditional group at the time of operation and intraoperative fluoroscopic dose (P < 0.05).
CONCLUSION: Robot-assisted screw placement for talar neck fractures achieved clinical outcomes comparable to those of traditional surgery, with the advantages of significantly shorter operation time and lower intraoperative fluoroscopic dose. Robot-assisted surgery appears to be a safe, effective, and low-radiation alternative for selected talar neck fractures (Hawkins type II).
PMID:42249405 | DOI:10.1186/s12891-026-10048-z
