{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T01:58:44Z","timestamp":1773021524057,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Robotic\u2010assisted technology has increasingly been applied in orthopedic surgery; however, its safety and efficacy in the treatment of scaphoid fractures remain controversial and lack high\u2010level evidence. This systematic review and meta\u2010analysis aimed to compare robotic\u2010assisted techniques with conventional fluoroscopy\u2010guided techniques in the treatment of scaphoid fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic literature search was conducted in PubMed, CNKI, VIP, Cochrane Library, Web of Science, and Scopus. Randomized controlled trials and cohort studies comparing robotic\u2010assisted and conventional fluoroscopy\u2010guided screw fixation for scaphoid fractures were included. Primary outcomes included operative time, fluoroscopy frequency, frequency of guidewire adjustments, intraoperative blood loss, fracture healing time, postoperative Visual Analog Scale (VAS), Mayo functional score, and complication rates. Meta\u2010analysis was performed using Review Manager 5.4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with conventional fluoroscopy\u2010guided techniques, robotic\u2010assisted technology significantly reduced operative time, fluoroscopy frequency, frequency of guidewire adjustments, intraoperative blood loss, and fracture healing time (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In addition, the Mayo functional score was significantly higher in the robotic\u2010assisted group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). No statistically significant differences were observed between the two groups in postoperative VAS scores or complication rates (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robotic\u2010assisted technology demonstrates superior safety and efficacy compared with conventional fluoroscopy\u2010guided techniques in the treatment of scaphoid fractures. It offers advantages in surgical efficiency, radiation reduction, fracture healing, and functional recovery, supporting its clinical application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70242","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T04:15:27Z","timestamp":1769055327000},"page":"544-557","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing the Safety and Efficacy of Robot\u2010Assisted Versus Conventional Fluoroscopy\u2010Guided Techniques in the Treatment of Scaphoid Fractures: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"18","author":[{"given":"Zhifa","family":"Yuan","sequence":"first","affiliation":[{"name":"Orthopedics Department Beijing Anzhen Nanchong Hospital of Capital Medical University &amp; Nanchong Central Hospital  Nanchong Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guohang","family":"Shen","sequence":"additional","affiliation":[{"name":"North Sichuan Medical College  Nanchong Sichuan People's Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xunqi","family":"Liu","sequence":"additional","affiliation":[{"name":"Orthopedics Department Beijing Anzhen Nanchong Hospital of Capital Medical University &amp; Nanchong Central Hospital  Nanchong Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenguo","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Pain Beijing Anzhen Nanchong Hospital of Capital Medical University &amp; Nanchong Central Hospital  Nanchong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaiyong","family":"Wang","sequence":"additional","affiliation":[{"name":"North Sichuan Medical College  Nanchong Sichuan People's Republic of 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