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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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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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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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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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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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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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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 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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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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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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AAOS2017: Similar short-term micromotion between kinematic & mechanical strategies in TKA

RCT Arthroplasty Lower Extremity Knee Bone Tibia Computer Navigation Instrumentation Kinematic Mechanical MRI Patient-Specific - 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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No radiological or clinical benefit of patient-specific vs standard instrumentation in TKA

Knee Surg Sports Traumatol Arthrosc. 2015 Dec;23(12):3637-45

RCT Arthroplasty Lower Extremity Knee Zimmer NexGen Computer Navigation Conventional Instrumentation Patient-Specific Instruments 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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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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MRI- and CT-templated Patient-Specific Instruments compared to conventional instruments

Clin Orthop Relat Res. 2014 Oct;472(10):2913-22

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis DePuy Sigma Smith & Nephew Cemented Conventional Instrumentation CT-Based Mechanical MRI-Based Patient-Specific Instrumentation Patient-Specific Instruments Posterior-Stabilized - Hide

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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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Patient-specific instrumentation provides no benefit in unicompartmental knee arthroplasty

Clin Orthop Relat Res. 2016 Jan;474(1):60-8

RCT Arthroplasty Lower Extremity Knee Zimmer Conventional Instrumentation Implant Patient-Specific Instrumentation - 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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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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Custom cutting blocks vs conventional instrumentation in total knee arthroplasty

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

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

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

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

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

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

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

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

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

AAOS2017: Similar short-term micromotion between kinematic & mechanical strategies in TKA

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

No radiological or clinical benefit of patient-specific vs standard instrumentation in TKA

Patient-specific surgery equivalent to conventional total knee arthroplasty alignment

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

MRI- and CT-templated Patient-Specific Instruments compared to conventional instruments

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

Patient-specific instrumentation provides no benefit in unicompartmental knee arthroplasty

Patient-specific cutting guides comparable with conventional instrumentation in TKR

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

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