Artificial Intelligence-Assisted vs Surgeon-Planned Trajectories in Freehand Femoral Neck Screw Fixation

The goal of this clinical trial is to compare two different methods of screw path planning-AI-assisted versus surgeon-directed-in robotic-assisted femoral neck fracture fixation surgery. The study will include adult patients diagnosed with femoral neck fractures who are eligible for surgical fixation using a robotic system. The main questions it aims to answer are: Does AI-assisted screw path planning improve the radiographic accuracy of screw placement? Does AI-assisted planning reduceoperative time, number of intraoperative fluoroscopy exposures, intraoperative blood loss (mL)? Does AI-assisted planning reduce postoperative complications and improve functional outcomes compared to surgeon-directed planning? Researchers will compare the AI-assisted planning group to the surgeon-directed planning group to determine whether AI guidance contributes to enhanced surgical precision, reduced operative risk, and improved recovery outcomes. Participants will: Undergo robotic-assisted internal fixation of femoral neck fractures with either AI-assisted or surgeon-directed screw path planning, Receive standardized perioperative care and follow-up at defined intervals, Be evaluated through clinical assessments, imaging studies, and documentation of intraoperative and postoperative metrics over a 6-month follow-up period.