Robots take on bone setting: a trial tests precision surgery for broken ankles
NCT ID NCT07733271
First seen Jul 29, 2026 · Last updated Jul 30, 2026 · Updated 1 time
Summary
This trial compares robot-assisted surgery to traditional methods for fixing a specific type of broken ankle (distal tibial fracture). The robot uses artificial intelligence to plan and perform the bone realignment, aiming for more accurate placement and less radiation exposure. Sixty adults with closed, acute fractures will be randomly assigned to either robot-assisted or conventional surgery. The main goal is to see if the robot leads to better bone alignment after the procedure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Robot-assisted closed reduction and internal fixation using an intelligent robotic system with deep-learning-based bone segmentation and automated reduction planning
- What this could lead to
- If successful, this robotic system could make fracture surgery more precise and consistent, potentially improving recovery and reducing the need for repeat procedures.
- What could go wrong
- This is a small, early-stage trial with only 60 participants, so results may not apply to all patients. The robot may not perform as well as an experienced surgeon in complex cases.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Unilateral, acute, closed distal tibial fractures (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association AO/OTA 43-A) * Time from injury to surgery \< 21 days * Able to walk independently before injury (assistive devices allowed) Exclusion Criteria: * Open fractures or multiple severe traumas requiring priority treatment * Asymmetrical lower extremities, or prior malunion of the ipsilateral tibia, or pre-existing deformities significantly affecting rotation/length evaluation * Ipsilateral fractures combined with other sites * Pathological fractures (tumor/metabolic) * Prior complex implants in place or previous surgeries significantly affecting evaluation * Active infection or severe systemic medical contraindications (unable to tolerate anesthesia/surgery) * Cognitive impairment, poor compliance, pregnancy, or lactation * Poor local skin conditions (e.g., obvious blisters, severe soft tissue injury) * Deemed unsuitable by the investigator (e.g., unable to follow up as planned) or refused randomization/enrollment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Aerospace Center Hospital
RECRUITINGBeijing, Beijing Municipality, 100035, China
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Beijing Jishuitan Hospital
RECRUITINGBeijing, Beijing Municipality, 100035, China
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