Evidence map›Paper›PMID 27025868›Full record

ArticleDer Orthopade2016

[The MyKnee® patient-specific system. Rationale, Technique and Results].

W Anderl, L Pauzenberger, E Schwameis

Abstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Der Orthopade, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

W AnderlAbteilung für Orthopädie, Krankenhaus der Barmherzigen Schwestern Wien, Stumpergasse 13, 1060, Wien, Österreich. werner.anderl@bhs.at.
L PauzenbergerAbteilung für Orthopädie, Krankenhaus der Barmherzigen Schwestern Wien, Stumpergasse 13, 1060, Wien, Österreich.
E SchwameisAbteilung für Orthopädie, Krankenhaus der Barmherzigen Schwestern Wien, Stumpergasse 13, 1060, Wien, Österreich.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate three-dimensional component positioning and restoration of overall limb alignment are primary goals in total knee arthroplasty. Patient-specific instrumentation (PSI) is a potential way to improve accuracy of knee reconstruction surgery. However, currently available literature regarding the reliability of PSI shows inconsistent results for limb alignment restoration and component positioning.

objectivesThe purpose of this article is to illustrate the rationale for using PSI in total knee arthroplasty, to demonstrate the surgical technique, and to present our outcome with the MyKnee(®) system.

methodsWe illustrate in detail the logistics and workflow involved in PSI for total knee arthroplasty. Finally, we present clinical and radiological results of patients undergoing knee arthroplasty using the MyKnee(®) system compared to a conventional instrumentation group.

resultsPSI significantly improved accuracy and reduced the number of outliers regarding neutral mechanical alignment restoration as well as three-dimensional component positioning compared to conventional instrumentation. The early clinical outcome was comparable between the two instrumentation groups. However, clinical outcome in the subgroup of patients within ± 3° from neutral mechanical limb alignment was superior to limb alignment outliers.

conclusionThe MyKnee(®) PSI system presents a reliable way to improve the accuracy of mechanical limb alignment restoration and three-dimensional component positioning in total knee arthroplasty. Nonetheless, an adequate surgical technique remains the crucial factor for successful total knee reconstruction.

Indexed as

Knee ProsthesisArthroplasty, Replacement, KneeEquipment Failure AnalysisHumansImaging, Three-DimensionalKnee JointOsteoarthritis, HipPatient SelectionPrecision MedicinePrinting, Three-DimensionalProsthesis DesignProsthesis FittingSurgery, Computer-AssistedTreatment OutcomeBone malalignmentOsteoarthritisPatient-specific instrumentation (PSI)Prosthesis designTotal knee arthroplasty

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Registered trials

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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.