SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015
No difference in mechanical alignment and femoral component placement between patient-specific instrumentation and conventional instrumentation in TKA.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Comparison of clinical outcomes of VISIONAIRE patient-specific instrumentation with conventional instrumentation in total knee arthroplasty: a systematic literature review and meta-analysis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Total knee arthroplasty using patient-specific instrumentation for osteoarthritis of the knee: a meta-analysis.BMC musculoskeletal disorders · 2019Pooled it
- Patient-specific instrumentation improved axial alignment of the femoral component, operative time and perioperative blood loss after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- No evidence of superiority in reducing outliers of component alignment for patient-specific instrumentation for total knee arthroplasty: a systematic review.Orthopaedic surgery · 2015Pooled it
- A double-blind randomized controlled trial of total knee replacement using patient-specific cutting block instrumentation versus standard instrumentationCanadian journal of surgery. Journal canadien de chirurgie · 2019Trial
- Rotational component alignment in patient-specific total knee arthroplasty compared with conventional cutting instrument.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Trial
- Patient-specific Instrumentation Affects Rotational Alignment of the Femoral Component in Total Knee Arthroplasty: A Prospective Randomized Controlled Trial.Orthopaedic surgery · 2019Trial
- [New technologies in total knee arthroplasty : Current concepts and personalized treatment strategies].Orthopadie (Heidelberg, Germany) · 2025Review
- The Role of 3D-Printed Patient-Specific Instrumentation in Total Knee Arthroplasty: A Literature Review.Cureus · 2023Review
- Patient-Specific Instrumentation Accuracy Evaluated with 3D Virtual Models.Journal of clinical medicine · 2021Article
- Recommendations for Patients with High Return to Sports Expectations after TKA Remain Controversial.Journal of clinical medicine · 2020Article
- Significant differences between manufacturer and surgeon in the accuracy of final component size prediction with CT-based patient-specific instrumentation for total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Evaluation of implant fit and frontal plane alignment after bi-compartmental knee arthroplasty using patient-specific instruments and implants.Archives of medical science : AMS · 2018Article
- Consistency in patient-reported outcome measures after total knee arthroplasty using patient-specific instrumentation: a 5-year follow-up of 200 consecutive cases.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Outcomes following total knee arthroplasty with CT-based patient-specific instrumentation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Alignment in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Patient-specific instrumentation does not improve radiographic alignment or clinical outcomes after total knee arthroplasty.Acta orthopaedica · 2016Review
- [The MyKnee® patient-specific system. Rationale, Technique and Results].Der Orthopade · 2016Article
- Patient-specific instrumentation improved mechanical alignment, while early clinical outcome was comparable to conventional instrumentation in TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- A Systematic Literature Review of Three Modalities in Technologically Assisted TKA.Advances in orthopedics · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is a rising interest in the use of patient-specific instrumentation (PSI) during total knee arthroplasty (TKA). The goal of this meta-analysis was to compare PSI with conventional instrumentation (CI) in patients undergoing TKA.
methodsA literature search was performed in PubMed, Embase, Springer, Ovid, China National Knowledge Infrastructure, and the Cochrane Library. A total of 10 randomized controlled studies involving 837 knees comparing outcomes of PSI TKAs with CI TKAs were included in the present analysis. Outcomes of interest included component alignment, surgical time, blood loss, and hospital stay.
resultsThe results presented no significant differences between the two instrumentations in terms of restoring a neutral mechanical axis and femoral component placement. However, their differences have been noted regarding the alignment of the tibial component in coronal and sagittal planes. Also, 3 min less surgical time was used in PSI patients.
conclusionsBased on these findings, PSI appeared not to be superior to CI in terms of the post-operative mechanical axis of the limb or femoral component placement. Despite a statistical difference for operative duration, the benefit of a small reduction in surgical time with PSI is clinically irrelevant. LEVEL OF EVIDENCE: Therapeutic study (systematic review and meta-analysis), Level I.
Indexed as
Identifiers
25026931What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.