Advantages of TiRobot-assisted technology in internal fixation of femoral neck fractures: a meta-analysis of surgical parameters and complications.

Cannulated screw fixation is a frequently utilized surgical procedure for the care of femoral neck fractures. During this procedure, TiRobot has demonstrated high surgical precision. However, whether TiRobot-assisted cannulated screw insertion is superior to traditional manual insertion remains controversial. As a result, we undertook a meta-analysis to determine the clinical impact of TiRobot in managing femoral neck fractures. We methodically searched PubMed, Embase, Scopus, Web of Science, and the Cochrane Library to find studies comparing TiRobot-assisted cannulated screw insertion with traditional manual insertion. The extracted data included demographics, fracture classification, and clinical outcomes. A total of six studies satisfied the inclusion criteria. Compared to traditional manual techniques, TiRobot demonstrated significant advantages in surgical time, intraoperative blood loss, hospital stay, fluoroscopy frequency, guide pin adjustments, and Harris hip score (WMD > 0). It also showed significant benefits in complications such as nonunion and femoral head necrosis (OR < 1). Overall, TiRobot technology demonstrated high safety and efficacy. However, additional high-quality randomized controlled trials are essential to substantiate the results of this study.