{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T09:56:59Z","timestamp":1792231019646,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T00:00:00Z","timestamp":1589155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the safety and superiority of robot\u2010assisted femoral head drilling decompression in the treatment of femoral head necrosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 63 patients who underwent borehole decompression of the femoral head in our hospital from January 2016 to March 2019 were recruited. Patients were divided into two groups for comparison according to surgical methods. In the robot\u2010assisted surgery group, there were 30 cases with 41 femoral heads. The conventional group had 33 cases and 46 femoral heads. All patients signed the consent form before the operation. The follow\u2010up time was 6\u2009months. The incision lengths, operation times, intraoperative blood loss, intraoperative fluoroscopies, guide needle punctures, postoperative Harris scores, and postoperative complications of the two groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incision length of the robot surgery group was 5.16\u2009\u00b1\u20090.41\u2009cm, while that of the traditional surgery group was 7.42\u2009\u00b1\u20090.50\u2009cm. The operation time of the robot surgery group was 46.99\u2009\u00b1\u20094.94\u2009min, while that of the traditional surgery group was 55.01\u2009\u00b1\u20096.19\u2009min. The fluoroscopy frequency of the robot surgery group was 10.50\u2009\u00b1\u20091.78 times, while that of the traditional surgery group was 17.91\u2009\u00b1\u20092.20 times. The intraoperative blood loss in the robotic surgery group was 20.62\u2009\u00b1\u20092.52\u2009mL, while that in the conventional surgery group was 52.72\u2009\u00b1\u20093.39\u2009mL. In the robot operation group, each femoral head guide needle was punctured three times, and the puncture was successful one time. The number of guided needle punctures in the traditional group was 8.02\u2009\u00b1\u20091.73. The difference between the two groups was statistically significant (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). The Harris score was 69.53\u2009\u00b1\u20097.51 in the robot surgery group and 68.38\u2009\u00b1\u20097.26 in the traditional surgery group one month after surgery, 78.52\u2009\u00b1\u20096.49 in the robot surgery group and 76.41\u2009\u00b1\u20097.95 in the traditional surgery group three months after surgery, and 83.32\u2009\u00b1\u20098.62 in the robot surgery group and 81.74\u2009\u00b1\u20096.20 in the traditional surgery group six months after surgery. There was no significant difference between the two groups (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). In the traditional group, there was one case of incision infection and one case of femoral head collapse during follow\u2010up. In the robot group, there were no complications, such as incision infection and deep vein thrombosis. No collapse of the femoral head was found in the robot group during follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The positioning system of the orthopaedic robot is an ideal method for the treatment of femoral head necrosis. This method has the advantages of simple operation, accurate drilling, a short operation time, less surgical trauma, less radioactivity, and good recovery of hip joint function.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12678","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T02:40:01Z","timestamp":1589251201000},"page":"784-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Accuracy and Safety of Robot\u2010Assisted Drilling Decompression for Osteonecrosis of the Femoral Head"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1809-7037","authenticated-orcid":false,"given":"Jin","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Chengdu University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2010jing","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Chengdu University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010dong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Chengdu University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu\u2010dong","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Chengdu University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0915-4551","authenticated-orcid":false,"given":"Hai","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Chengdu University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai\u2010nan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Affiliated Hospital of Chengdu University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,11]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"337","article-title":"Osteonecrosis of the hip: management in the 21st century","volume":"52","author":"Lieberman JR","year":"2003","journal-title":"Instr Course Lect"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.01041"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-012-1141-6"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1757-7861.2012.00192.x"},{"key":"e_1_2_5_6_1","volume-title":"Femoral Head Avascular Necrosis","author":"Barney J","year":"2019"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.4.180036"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12016-010-8217-z"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20873"},{"key":"e_1_2_5_10_1","first-page":"179","article-title":"The pathogenesis of osteonecrosis","volume":"56","author":"Jones LC","year":"2007","journal-title":"Instr Course Lect"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnu011"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150128.57777.8e"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199902000-00007"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030389"},{"key":"e_1_2_5_15_1","first-page":"76","article-title":"Short\u2010term effectiveness comparison between robotic\u2010guided percutaneous minimally invasive pedicle screw internal fixation and traditional open internal fixation in treatment of thoracolumbar fractures","volume":"34","author":"Lin S","year":"2020","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-019-02332-y"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bone.2019.115099"},{"key":"e_1_2_5_18_1","first-page":"417","article-title":"Computed tomography staging of osteonecrosis of the femoral head","volume":"35","author":"Lee B","year":"2019","journal-title":"Surg Technol Int"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0284185118786070"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-019-1359-7"},{"key":"e_1_2_5_21_1","first-page":"849","article-title":"Effect of robot navigation assisted core decompression combined with bone graft treatment of early stage osteonecrosis of the femoral head","volume":"56","author":"Zhao YC","year":"2018","journal-title":"Zhonghua Wai Ke Za Zhi"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12548"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1927"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12447"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.08.157"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/s19163593"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12451"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200202000-00014"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199608000-00023"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-019-1437-x"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fos.12678","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12678","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.12678","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12678","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T05:14:33Z","timestamp":1693977273000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.12678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,11]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/os.12678"],"URL":"https:\/\/doi.org\/10.1111\/os.12678","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,11]]},"assertion":[{"value":"2019-12-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}