{
  "abstract": "Patient acceptance is important for surgical robotics implementation, but evidence in acute orthopaedic trauma is limited. We examined preoperative acceptance of robotic-assisted femoral neck fracture fixation and factors associated with behavioral intention. This prospective multicenter observational study included 378 adults with femoral neck fractures assessed before definitive fixation technique selection. A Chinese-adapted questionnaire assessed six acceptance constructs and behavioral intention. Multivariable linear regression with heteroskedasticity-consistent type 3 (HC3) robust standard errors examined associations with intention, while logistic regression assessed factors associated with post-introduction self-reported understanding of the robot’s role. Performance expectancy (B = 0.524; 95% CI, 0.391–0.657; P < 0.001), social influence (B = 0.262; 95% CI, 0.151–0.373; P < 0.001), and pleasure (B = 0.159; 95% CI, 0.038–0.281; P = 0.010) were associated with greater intention. In a separate contextual model, prior knowledge of femoral neck fracture surgical techniques (B = 0.905), self-reported understanding (B = 0.540), and robotic-option offering (B = 0.545) were positively associated with intention, whereas additional-cost concern was inversely associated (B = − 0.242). The association with robotic-option offering was not significant in a restricted-center analysis (B = 0.447; P = 0.125). Prior knowledge (aOR = 7.46; 95% CI, 4.01–13.89) and robotic-option offering (aOR = 2.54; 95% CI, 1.15–5.61) were associated with self-reported understanding. Acceptance of robotic-assisted femoral neck fixation reflects perceived technological value and the clinical decision context. Implementation should emphasize realistic expectations, clear explanations of the robot’s role, cost transparency, and informed patient choice.\n\nSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s11701-026-04155-1.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022 China",
    "Department of Public Administration, College of Public Health, Xinjiang Medical University, Urumqi, Xinjiang China",
    "Pediatric Health Nursing, Department of Allied Medical Sciences, Zarqa University College, Al-Balqa Applied University, P.O. Box: 313, Zarqa, 13110 Jordan"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Fawwaz Al-Smadi"
    },
    {
      "affs": [
        1
      ],
      "name": "Xiayidan Abudourusuli"
    },
    {
      "affs": [
        0
      ],
      "name": "Huidong Yang"
    },
    {
      "affs": [
        2
      ],
      "name": "Sajeda Al-Smadi"
    },
    {
      "affs": [
        0
      ],
      "name": "Jiewen Liao"
    },
    {
      "affs": [
        0
      ],
      "name": "Lizhi Ouyang"
    },
    {
      "affs": [
        0
      ],
      "name": "Zhenhe Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Ruiyin Zeng"
    },
    {
      "affs": [
        0
      ],
      "name": "Bobin Mi"
    },
    {
      "affs": [
        0
      ],
      "name": "Xudong Xie"
    },
    {
      "affs": [
        0
      ],
      "name": "Mengfei Liu"
    },
    {
      "affs": [
        0
      ],
      "name": "Guohui Liu",
      "orcid": "0000-0002-2013-1396"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ccwvfs1q9k05p.bib",
  "cited_by": 0,
  "doi": "10.1007/s11701-026-04155-1",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13743579/",
  "id": "ccwvfs1q9k05p",
  "issns": [
    "1863-2483",
    "1863-2491"
  ],
  "landing_url": "https://doi.org/10.1007/s11701-026-04155-1",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2746|Hip and Femur Fractures"
    ]
  ],
  "openalex": "W7225457161",
  "pdf_url": "https://link.springer.com/content/pdf/10.1007/s11701-026-04155-1.pdf",
  "pmcid": "PMC13743579",
  "pmid": "42995295",
  "published": "2026-11-07",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/ccwvfs1q9k05p.ris",
  "sources": [
    {
      "first_seen": "2026-11-11T12:21:15Z",
      "native_id": "PMC13743579",
      "source": "pmc",
      "url": "https://doi.org/10.1007/s11701-026-04155-1"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Hip and Femur Fractures",
      "subfield": "surgery"
    }
  ],
  "title": "Understanding acceptance before intervention: patient perspectives on robotic-assisted femoral neck fracture fixation",
  "title_text": "Understanding acceptance before intervention: patient perspectives on robotic-assisted femoral neck fracture fixation",
  "type": "peer-reviewed",
  "updated_at": "2026-11-11T12:21:15Z",
  "url": "https://research.draconitic.com/paper/ccwvfs1q9k05p",
  "venue": "Journal of Robotic Surgery",
  "versions": []
}