J Knee Surg 2016; 29(04): 341-345
DOI: 10.1055/s-0035-1558859
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Patient-Specific Instrumentation in Total Knee Arthroplasty: What Is the Evidence?

Bartlomiej Szczech
1   Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey
,
James D. McDermott
1   Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey
,
Kimona Issa
1   Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey
,
Aiman Rifai
1   Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey
,
Anthony Festa
1   Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey
,
William A. Matarese
1   Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey
,
Vincent K. McInerney
1   Department of Orthopaedic Surgery, Seton Hall University School of Health and Medical Sciences, South Orange, New Jersey
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Weitere Informationen

Publikationsverlauf

27. April 2015

26. Mai 2015

Publikationsdatum:
17. September 2015 (online)

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Abstract

With a steady increase in the demand for primary and revision total knee arthroplasty (TKA), any potential reduction in the number of failures can be a topic of significant clinical importance. Patient-specific instrumentation (PSI) is introduced to potentially achieve more reproducible alignment with reduced outliers by creating more accurate and patient-specific femoral and tibial cuts based on neutral mechanical axis. However, there is no widely accepted consensus on the efficacy and indication of using PSI in TKA. The purpose of this review was to assess the current literature on patient-specific TKA and its effect on perioperative outcomes, including templating and preoperative planning, mechanical alignment, clinical outcomes, perioperative blood loss, and economic evaluations. Based on the current literature, more prospective studies are necessary to evaluate the routine use of PSI in TKA.