Wang Cheng, Li Yang, Chen Jiazheng, Zhao Minwei, Wang Xinguang, Li Feng, Tian Hua
Orthopaedic Department, Peking University Third Hospital, No. 49 North Garden Rd, Haidian District, Beijing, 100191, China.
Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, China.
BMC Med Educ. 2025 Aug 19;25(1):1179. doi: 10.1186/s12909-025-07606-9.
With the increasing incidence of joint diseases and the growing demand for surgical precision, robotic-assisted surgery has emerged as a promising advancement in orthopedic training. The Mako surgical robot, known for its precision in preoperative planning and intraoperative guidance, may offer significant educational benefits to joint surgery fellows. However, its potential impact on enhancing traditional surgical skills and research capabilities remains underexplored.
To evaluate whether systematic training in Mako robotic-assisted hip replacement improves surgical performance and research skills among joint surgery fellows compared to traditional training.
From October 2021 to May 2023, 40 joint surgery fellows were randomly divided into two groups, the experimental group received a comprehensive and systematic mako robot-assisted hip replacement training course. The control group received traditional training in hip replacement surgery within one month. The results of operation simulation and questionnaire were used to evaluate the training effect.
The test results showed that in the simulation test of acetabular prosthesis placement, the overall pass rate of the experimental group was 90%, and that of the control group was 60%( = 0.028). The results of the questionnaire showed that in clinical aspects, the score of surgical skill growth in the experimental group was higher than that in the control group after training [(10.9 ± 3.6) score vs. (4.4 ± 1.6) score, < 0.001]. In terms of scientific research, the experimental group obtained more scientific research skills and abilities than the control group after training [(43.7 ± 1.9) vs. (25.0 ± 3.2) points, < 0.001].
The Mako orthopedic robot system enables joint surgery fellows to improve the traditional surgical techniques and the capacity for scientific research.
The online version contains supplementary material available at 10.1186/s12909-025-07606-9.
随着关节疾病发病率的上升以及对手术精准度的需求不断增加，机器人辅助手术已成为骨科培训中一项有前景的进展。以术前规划和术中引导的精准度而闻名的Mako手术机器人，可能会给关节外科住院医师带来显著的教育益处。然而，其对提升传统手术技能和研究能力的潜在影响仍未得到充分探索。
评估与传统培训相比，Mako机器人辅助髋关节置换的系统培训是否能提高关节外科住院医师的手术表现和研究技能。
2021年10月至2023年5月，40名关节外科住院医师被随机分为两组，实验组接受全面系统的Mako机器人辅助髋关节置换培训课程。对照组在一个月内接受髋关节置换手术的传统培训。使用手术模拟结果和问卷调查来评估培训效果。
测试结果显示，在髋臼假体置入模拟测试中，实验组的总体通过率为90%，对照组为60%（=0.028）。问卷调查结果显示，在临床方面，培训后实验组手术技能提升得分高于对照组[（10.9±3.6）分对（4.4±1.6）分，<0.001]。在科研方面，培训后实验组获得的科研技能和能力比对照组更多[（43.7±1.9）对（25.0±3.2）分，<..001]。
Mako骨科机器人系统能使关节外科住院医师提高传统手术技术和科研能力。
在线版本包含可在10.1186/s12909-025-07606-9获取的补充材料。
