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TKA: Patient-specific guides offer no accuracy benefit over conventional instrumentation

Clin Orthop Relat Res. 2014 Jan;472(1):263-71. doi: 10.1007/s11999-013-2997-4

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Biomet DePuy Sigma Smith & Nephew Zimmer NexGen Conventional Instrumentation Patient-Specific Guides TKA - Hide

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Alignment and operative time of TKA with patient-specific vs. conventional instrumentation

J Orthop Surg (Hong Kong). 2015 Apr;23(1):100-6.

Meta-analysis Arthroplasty Lower Extremity Knee Conventional Instrumentation Guides Operative Patient-Specific Instrumentation PSI Standard Instrumentation TKA - 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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More accurate anteversion of acetubular components placed with patient-specific guides

J Arthroplasty. 2014 May;29(5):1030-7. doi: 10.1016/j.arth.2013.10.006. Epub 2013 Oct 16

RCT Arthroplasty Lower Extremity Hip Joint Acetabulum Stryker Cup Guides Patient-Specific Preoperative CT 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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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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No radiographic or clinical benefit of patient specific instrumentation in TKA

Acta Orthop. 2016 Aug;87(4):386-94

Meta-analysis Arthroplasty Lower Extremity Knee Blood Loss Conventional Instrumentation Conventional Instruments Custom Operative Patient Specific Instrumentation Replacement 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 may not be applicable to all total knee arthroplasty cases

Clin Orthop Relat Res. 2013 Dec;471(12):3988-95. doi: 10.1007/s11999-013-3206-1. Epub 2013 Aug 2

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis 3M Biomet Conventional Instrumentation Patient-Specific Instrumentation Patient-Specific Instruments TKA - 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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Patient specific implant does not reduce operating time of TKA in osteoarthritis patients

J Arthroplasty. 2013 Sep;28(8 Suppl):96-100

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Inflammation Patient Specific Implant Traditional Implant - Hide

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Continuous migration of components noted between 12 & 24 months with PSI in total knee arthroplasty

Acta Orthop. 2018 Aug;89(4):418-424. doi: 10.1080/17453674.2018.1470866

RCT Arthroplasty Lower Extremity Knee Biomet Zimmer Guides Patient-Specific - Hide

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COA2017: No noticeable benefit of patient-specific instruments over conventional instruments in TKA

RCT Arthroplasty Lower Extremity Knee Conventional Instruments Patient-Specific Instrumentation Patient-Specific Instruments Preoperative PSI - Hide

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Comparison of radiological alignment between MRI- and CT-based patient-specific TKA

Bone Joint J. 2016 Jun;98-B(6):786-92

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Biomet Zimmer CT-Based MRI Patient-Specific Preoperative - Hide

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CT-based Patient Specific Instrumentation offers no additional benefit to conventional TKA

Int Orthop. 2014 Oct;38(10):2099-107

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Biomet Computed Tomography Conventional Instrumentation CT Patient-Specific Instrumentation PSI TKA Uncemented - Hide

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No difference in rate of malalignment between PSI and conventional instruments in TKA

Acta Orthop. 2018 Feb;89(1):89-94

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Biomet Conventional Extramedullary Patient-Specific Cutting Guides PSI - Hide

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Similar 5-year clinical outcomes between patient specific and conventional instrumentation in TKA

Knee Surg Sports Traumatol Arthrosc. 2019 May;27(5):1463-1468.

RCT Arthroplasty Osteoarthritis Lower Extremity Knee Arthritis Biomet Zimmer Zimmer-Biomet Conventional Instrumentation 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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No benefit of patient specific instrumentation (PSI) in TKA in terms of coronal alignment

Orthop Traumatol Surg Res. 2015 Jun;101(4):461-8

Meta-analysis Arthroplasty Lower Extremity Knee Conventional Instrumentation Conventional Methods Custom-Fit Implant Instrumented Mechanical Patient Specific Instrumentation PSI Replacement 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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TKA: Patient-specific guides offer no accuracy benefit over conventional instrumentation

Alignment and operative time of TKA with patient-specific vs. conventional instrumentation

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

More accurate anteversion of acetubular components placed with patient-specific guides

Patient-specific surgery equivalent to conventional total knee arthroplasty alignment

Patient-specific cutting guides comparable with conventional instrumentation in TKR

No radiographic or clinical benefit of patient specific instrumentation in TKA

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

Patient-specific instruments may not be applicable to all total knee arthroplasty cases

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

Patient specific implant does not reduce operating time of TKA in osteoarthritis patients

Continuous migration of components noted between 12 & 24 months with PSI in total knee arthroplasty

COA2017: No noticeable benefit of patient-specific instruments over conventional instruments in TKA

Comparison of radiological alignment between MRI- and CT-based patient-specific TKA

CT-based Patient Specific Instrumentation offers no additional benefit to conventional TKA

No difference in rate of malalignment between PSI and conventional instruments in TKA

Similar 5-year clinical outcomes between patient specific and conventional instrumentation in TKA

Patient-specific instrumentation provides no benefit in unicompartmental knee arthroplasty

No benefit of patient specific instrumentation (PSI) in TKA in terms of coronal alignment

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

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