• Yongshun Zheng, Jiazhao Yang, Fan Zhang, Jinsen Lu, and Yeben Qian.
• Department of General Surgery, The First Affiliated Hospital of Anhui Medical University.
• Medicine (Baltimore). 2021 May 21; 100 (20): e25926.

BackgroundSeveral studies have reported that medical robot-assisted method (RA) might be superior to conventional freehand method (FH) in orthopedic surgery. Yet the results are still controversial, especially in terms of femoral neck fractures surgery. Here, 2 methods were assessed based on current evidence.MethodsElectronic databases including Cochrane Library, PubMed, Web of Science. and EMBASE were selected to retrieved to identify eligible studies between freehand and RAs in femoral neck fractures, with 2 reviewers independently reviewing included studies as well as collecting data.ResultsA total of 5 studies with 331 patients were included. Results indicated that 2 surgical methods were equivalent in terms of surgical duration, Harris score, fracture healing time, fracture healing proportion and complications, while RA showed clinical benefits in radiation exposure, intraoperative bleeding, total drilling times, and screw parallelism.ConclusionsCurrent literature revealed significantly difference between 2 techniques and suggested that RA might be beneficial for patients than freehand method.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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