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No benefit of patient-specific instrumentation vs. conventional instrumentation in TKA

Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3288-95

Meta-analysis Arthroplasty Bone Femur Conventional Instrumentation Femoral Component Guide Mechanical Operative Patient-Specific Cutting Block Patient-Specific Instrumentation PSI TKA - Hide

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The effect of PSCB on hip-knee-ankle angle compared to manual instrumentation in TKA

Int Orthop. 2015 Aug;39(8):1541-52

Meta-analysis Arthroplasty Lower Extremity Ankle Hip Knee Guides Mechanical Patient Specific Instrumentation Patient Specific Instruments Patient-Specific Cutting Blocks PSI Replacement TKA - Hide

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COA/AOA: Patient-specific cutting blocks similar to computer navigation in TKA

RCT Arthroplasty Lower Extremity Knee Computer Navigation Cruciate-Retaining Cemented TKA Patient-Specific Cutting Blocks - Hide

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Patient-specific instruments yield no significant effect on radiographic and clinical results in TKA

J Arthroplasty. 2018 Mar;33(3):746-751

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Smith & Nephew Cutting Extramedullary Intramedullary Patient-Specific Instruments - Hide

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Lack of evidence to support routine use of patient-specific instrumentation in TKA

J Arthroplasty. 2014 Sep;29(9):1709-12

Meta-analysis Arthroplasty Lower Extremity Knee Blood Loss Current Operative Patient-Specific Instrumentation Standard Instrumentation Support TKA Transfusion - Hide

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AAOS 2015: Comparison of custom cutting blocks and conventional instrumentation in TKA

RCT Arthroplasty Lower Extremity Knee Smith & Nephew Conventional Instrumentation Custom Cutting Blocks TKA - Hide

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Patient-specific cutting guides comparable with conventional instrumentation in TKR

Bone Joint J. 2013 Mar;95-B(3):354-9. doi: 10.1302/0301-620X.95B3.29903

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Conventional Instrumentation Patient-Specific Cutting Guides TKR - Hide

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Assessing the impact of PSI on alignment and surgical outcomes in cases of total knee arthroplasty

Knee Surg Sports Traumatol Arthrosc. 2019 Apr;27(4):1083-1095. doi: 10.1007/s00167-018-5256-0

Meta-analysis Arthroplasty Lower Extremity Knee Bone Femur Blood Loss Conventional Instrumentation Custom Cutting Block Femoral Component Impact Operative Patient-Specific Instrumentation PSI Replacement Standard Instrumentation TKA TKR Total Arthroplasty - Hide

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COA: Similar function and satisfaction between custom cutting block and standard TKR

RCT Arthroplasty Lower Extremity Knee Stryker Custom Cutting Blocks Reconstruction Standard Computer Navigation TKR - Hide

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ISAKOS: Patient-specific cutting guides comparable to conventional instrumentation in TKR

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Conventional Instrumentation Patient-Specific Cutting Guides Replacement TKR - Hide

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AAOS 2016: Comparison of alignment between patient-specific cutting blocks and navigation

RCT Arthroplasty Lower Extremity Knee Computer Navigation Kinematic Patient-Specific Cutting Blocks TKA - Hide

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Improved Tibial Rotation Alignment with customized cutting blocks in Total Knee Arthroplasty

Eur J Orthop Surg Traumatol. 2019 Aug;29(6):1297-1304.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Bone Tibia Arthritis Smith & Nephew Conventional Customized Cutting Blocks TKA - Hide

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Custom cutting blocks vs conventional instrumentation in total knee arthroplasty

Knee. 2014 Jan;21(1):185-8. doi: 10.1016/j.knee.2013.08.003. Epub 2013 Aug 15

RCT Arthroplasty Lower Extremity Knee Bone Femur DePuy Sigma Conventional Custom Cutting Blocks Extramedullary Instrumentation Intramedullary - Hide

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PSI does not offer any significant functional benefit over conventional instruments in TKA

J Arthroplasty. 2016 Oct;31(10):2173-80

Meta-analysis Arthroplasty Lower Extremity Knee Conventional Instrumentation Conventional Instruments Customized Cutting Blocks Patient-Specific Instrumentation PSI TKA - Hide

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Patient-specific instrumentation TKA offers no advantage in gait or functional outcomes

Clin Orthop Relat Res. 2014 Aug;472(8):2468-76

RCT Arthroplasty Lower Extremity Knee Arthritis Conventional Instrumentation Patient-Specific Instrumentation TKA - Hide

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No benefit of PSI over conventional instrumentation in total knee arthroplasty

Orthopedics. 2015 Mar 1;38(3):e178-88

Meta-analysis Arthroplasty Lower Extremity Knee Blood Loss Conventional Instrumentation Custom Cutting Fit Operative Patient-Specific Instrumentation PSI Replacement TKA TKR - Hide

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SICOT2018: CT assessment of component rotation in TKA between CCB and conventional instruments

RCT Arthroplasty Lower Extremity Knee Bone Resection Conventional Custom Cutting Blocks Instruments - Hide

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Patient-specific guides do not improve CT-assessed component alignment in TKA

J Bone Joint Surg Am. 2014 Mar 5;96(5):366-72

RCT Arthroplasty Lower Extremity Knee Arthritis DePuy CT Guides Instrumentation Patient-Specific Cutting Blocks Preoperative TKA - Hide

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PSI TKA associated with higher rate of intra- & postoperative tibial outliers vs computer navigation

Knee Surg Sports Traumatol Arthrosc. 2016 Nov;24(11):3441-3447

RCT Arthroplasty Deformity Osteoarthritis Lower Extremity Knee Bone Tibia Arthritis Smith & Nephew Zimmer Assisted CAS Computer Instrumentation MRI Navigation Patient-Specific PSI - Hide

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Patient-specific surgery equivalent to conventional total knee arthroplasty alignment

Knee Surg Sports Traumatol Arthrosc. 2013 Oct;21(10):2206-12

RCT Arthroplasty Lower Extremity Knee Conventional Patient-Specific Guides - Hide

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No benefit of patient-specific instrumentation vs. conventional instrumentation in TKA

The effect of PSCB on hip-knee-ankle angle compared to manual instrumentation in TKA

COA/AOA: Patient-specific cutting blocks similar to computer navigation in TKA

Patient-specific instruments yield no significant effect on radiographic and clinical results in TKA

Lack of evidence to support routine use of patient-specific instrumentation in TKA

AAOS 2015: Comparison of custom cutting blocks and conventional instrumentation in TKA

Patient-specific cutting guides comparable with conventional instrumentation in TKR

Assessing the impact of PSI on alignment and surgical outcomes in cases of total knee arthroplasty

COA: Similar function and satisfaction between custom cutting block and standard TKR

ISAKOS: Patient-specific cutting guides comparable to conventional instrumentation in TKR

AAOS 2016: Comparison of alignment between patient-specific cutting blocks and navigation

Improved Tibial Rotation Alignment with customized cutting blocks in Total Knee Arthroplasty

Custom cutting blocks vs conventional instrumentation in total knee arthroplasty

PSI does not offer any significant functional benefit over conventional instruments in TKA

Patient-specific instrumentation TKA offers no advantage in gait or functional outcomes

No benefit of PSI over conventional instrumentation in total knee arthroplasty

SICOT2018: CT assessment of component rotation in TKA between CCB and conventional instruments

Patient-specific guides do not improve CT-assessed component alignment in TKA

PSI TKA associated with higher rate of intra- & postoperative tibial outliers vs computer navigation

Patient-specific surgery equivalent to conventional total knee arthroplasty alignment

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