SynthesisActa orthopaedica et traumatologica turcica2017
A comparison of short term radiological alignment outcomes of the patient specific and standard instrumentation for primary total knee arthroplasty: A systematic review and meta-analysis.
Synthesis in Acta orthopaedica et traumatologica turcica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 5 of them syntheses that pooled it.
What it found
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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
11 citing papers in PubMed, 5 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
- Should we abandon the patient-specific instrumentation ship in total knee arthroplasty? Not quite yet!BMC musculoskeletal disorders · 2021Pooled it
- Patient-Specific or Conventional Instrumentations: A Meta-analysis of Randomized Controlled Trials.BioMed research international · 2020Pooled 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
- Accuracy of empirical distal femoral valgus cut angle of 4° to 6° in total knee arthroplasty: a randomized controlled trial.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Trial
- Patient-specific Instrumentation Affects Rotational Alignment of the Femoral Component in Total Knee Arthroplasty: A Prospective Randomized Controlled Trial.Orthopaedic surgery · 2019Trial
- Mid-term functional outcomes of patient-specific versus conventional instrumentation total knee arthroplasty: a prospective study.Archives of orthopaedic and trauma surgery · 2021Article
- Patient-Specific Instrumentation Accuracy Evaluated with 3D Virtual Models.Journal of clinical medicine · 2021Article
- Clinical Outcome of Total Knee Arthroplasty Performed Using Patient-Specific Cutting Guides.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- An Approach to Developing Customized Total Knee Replacement Implants.Journal of healthcare engineering · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to review the radiological alignment outcomes of patient Specific (PS) cutting blocks and Standard Instrumentation in Primary Total Knee Arthroplasty.
methodsWe hypothesized that the use of PS techniques would significantly improve sagittal, coronal and rotational alignment of the prosthesis on short term. We performed a systematic review and a meta-analysis including all the randomised controlled trials (RCT) using PS and standard (ST) total knee arthroplasty to date.
resultsA total of 538 PS TKA and 549 ST TKA were included in the study. Statistical analysis of the outliers for femoral component sagittal, coronal and rotational positioning, tibial component sagittal and coronal positioning and the overall mechanical axis were assessed. We found that there was no significant benefit from using PS instrumentation in primary knee arthroplasty to aid in the positioning of either the tibial or femoral components. Furthermore sagittal plane tibial component positioning was worse in the PS than the traditional ST group.
conclusionOur results suggest that at present PS instrumentation is not superior to ST instrumentation in primary total knee arthroplasty. LEVEL OF EVIDENCE: Level 1, Systematic review of therapeutic studies.
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Registered trials
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