ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Patient-specific instruments for total knee arthroplasty can accurately predict the component size as used peroperative.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Favourable alignment outcomes with MRI-based patient-specific instruments in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Patient-specific instruments do not show advantage over conventional instruments in unicompartmental knee arthroplasty at 2 year follow-up: a prospective, two-centre, randomised, double-blind, controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Trial
- Pre-operative planning with X-PSI™ compared to MRI-based patient-specific instrumentation in total knee arthroplasty.Journal of clinical orthopaedics and trauma · 2025Article
- The Accuracy of CT-Based Three-Dimensional Templating in Predicting Implant Sizes in Patients Undergoing Robot-Assisted Total Knee Arthroplasty.Indian journal of orthopaedics · 2024Article
- Intra- and inter-operator reliability of three-dimensional preoperative planning in total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Validating a Novel 2D to 3D Knee Reconstruction Method on Preoperative Total Knee Arthroplasty Patient Anatomies.Journal of clinical medicine · 2024Article
- Three-dimensional-printed patient-specific instrumentation is an accurate tool to reproduce femoral bone tunnels in multiple-ligament knee injuries.International orthopaedics · 2023Article
- Research Advances in the Application of AI for Preoperative Measurements in Total Knee Arthroplasty.Life (Basel, Switzerland) · 2023Review
- The Adherence of Digital Templating of Cemented Bicondylar Total Knee Arthroplasty Reveals Gender Differences.Journal of clinical medicine · 2023Article
- Artificial Intelligence Based Patient-Specific Preoperative Planning Algorithm for Total Knee Arthroplasty.Frontiers in robotics and AI · 2022Article
- Accuracy of one-dimensional templating on linear EOS radiography allows template-directed instrumentation in total knee arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- A short-term radiological and clinical comparison between the bi-cruciate and cruciate retaining total knee arthroplasty A retrospective case controlled study.Journal of clinical orthopaedics and trauma · 2021Article
- Knee Prosthesis in the Computer Era.Orthopaedic surgery · 2021Review
- High intra- and inter-observer reliability of planning implant size in MRI-based patient-specific instrumentation for total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Patient-specific instrumentation improved three-dimensional accuracy in total knee arthroplasty: a comparative radiographic analysis of 1257 total knee arthroplasties.Journal of orthopaedic surgery and research · 2019Article
- A high rate of tibial plateau fractures after early experience with patient-specific instrumentation for unicompartmental knee arthroplasties.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- 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
- [Short-term effectiveness of total knee arthroplasty assisted by three-dimensional printing osteotomy navigation template].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Patient-specific instrumentation in Oxford unicompartmental knee arthroplasty is reliable and accurate except for the tibial rotation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- Revision of partial knee to total knee arthroplasty with use of patient-specific instruments results in acceptable femoral rotation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatients-specific instruments (PSI) for implantation of total knee arthroplasty (TKA) can be used to predict the implant size for both the femur and the tibia component. This study aims to determine the impact of approval of the PSI planning for TKA on the frequency of, and reason for intraoperative changes of implant sizes.
methodsThe clinical records of 293 patients operated with MRI- (90.4 %) and CT-based (9.6 %) PSI were reviewed for actual used implant size. Preoperative default planning from the technician and approved planning by the operating surgeon were compared with the intraoperative implanted component size for both the femur and tibia. Intraoperative reason for not following the default sizes was outdated. Furthermore, MRI- and CT-based PSI were compared for these outcomes.
resultsIn 93.9 and 91.1 % for, respectively, the femur and tibia (n.s.), the surgeon planned size was implanted during surgery. The predicted size of the femur (p < 0.00) and the tibia (p < 0.00) component planned by a technician differed from the implanted component sizes in 62 (21.2 %) and 51 (17.4 %) patients, respectively. In 17 cases, the femoral component size was adapted intraoperative based on the expert opinion of the operating surgeon. In 26 cases, the tibia component was changed during the surgery because of a mediolateral overhang, sclerotic bone, medial or lateral release, limited extension and/or fixed varus deformity. The results between the MRI- and CT-based PSI did not differ (n.s.).
conclusionsPSI is a tool to help the surgeon to achieve the best possible results during TKA. The planning made by a technician should always be validated and approved by the operating surgeon who has the ultimate responsibility regarding the operation. With PSI, the operating surgeon is able to minimize intraoperative implant size errors in advance to improve operating room efficiency with possible lowering hospital costs per procedure. LEVELS OF EVIDENCE: III.
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