Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?

ABSTRACT Total knee arthroplasty (TKA) is a surgical procedure of paramount relevance that restores a substantial degree of function in arthritic knees. Increased consideration has been given to the influence of limb alignment on longevity after TKA, as errors in component placement can be associate...

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Main Authors: Ana Sofia Teles Rodrigues, Manuel António Pereira Gutierres
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000300242&lng=en&tlng=en
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author Ana Sofia Teles Rodrigues
Manuel António Pereira Gutierres
author_facet Ana Sofia Teles Rodrigues
Manuel António Pereira Gutierres
author_sort Ana Sofia Teles Rodrigues
collection DOAJ
description ABSTRACT Total knee arthroplasty (TKA) is a surgical procedure of paramount relevance that restores a substantial degree of function in arthritic knees. Increased consideration has been given to the influence of limb alignment on longevity after TKA, as errors in component placement can be associated with inferior function and compromised long-term performance. Consequently, numerous studies comparing patient-specific instrumentation (PSI) to standard instruments (SI) have been published. Patient-specific approaches use preoperative imaging to create specific materials for each patient's anatomy and were designed to achieve a higher rate of success in TKA, causing the entire procedure to be more efficient and cost-effective. However, it is not clear to what degree these studies support the potential advantages of PSI. Thus, the present study aimed to review the current evidence comparing PSI to SI, concerning alignment, cost-effectiveness, and postoperative functional evaluation.
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spelling doaj.art-e584aa3b723444a6ac7953ca1fc897c72024-02-02T01:03:45ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437852324225010.1016/j.rboe.2016.06.008S0102-36162017000300242Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?Ana Sofia Teles RodriguesManuel António Pereira GutierresABSTRACT Total knee arthroplasty (TKA) is a surgical procedure of paramount relevance that restores a substantial degree of function in arthritic knees. Increased consideration has been given to the influence of limb alignment on longevity after TKA, as errors in component placement can be associated with inferior function and compromised long-term performance. Consequently, numerous studies comparing patient-specific instrumentation (PSI) to standard instruments (SI) have been published. Patient-specific approaches use preoperative imaging to create specific materials for each patient's anatomy and were designed to achieve a higher rate of success in TKA, causing the entire procedure to be more efficient and cost-effective. However, it is not clear to what degree these studies support the potential advantages of PSI. Thus, the present study aimed to review the current evidence comparing PSI to SI, concerning alignment, cost-effectiveness, and postoperative functional evaluation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000300242&lng=en&tlng=enArthroplastyReplacementKnee/instrumentationPatient-specific modelingKnee prosthesisProsthesis design
spellingShingle Ana Sofia Teles Rodrigues
Manuel António Pereira Gutierres
Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?
Revista Brasileira de Ortopedia
Arthroplasty
Replacement
Knee/instrumentation
Patient-specific modeling
Knee prosthesis
Prosthesis design
title Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?
title_full Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?
title_fullStr Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?
title_full_unstemmed Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?
title_short Patient-specific instrumentation in total knee arthroplasty. Should we adopt it?
title_sort patient specific instrumentation in total knee arthroplasty should we adopt it
topic Arthroplasty
Replacement
Knee/instrumentation
Patient-specific modeling
Knee prosthesis
Prosthesis design
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000300242&lng=en&tlng=en
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