ReviewJSES open access2019
Accuracy of patient-specific instrumentation in shoulder arthroplasty: a systematic review and meta-analysis.
Review in JSES open access, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06611059 (Design of Patient Specific Guides), which is not on this map. Cited by 41 papers.
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.
Design of Patient Specific Guides (PSG) for Reverse Shoulder Arthroplasty
Who cites it
41 citing papers in PubMed, 86 citations in OpenAlex.
- Navigation-recorded plan execution in augmented total shoulder arthroplasty using the Advita GPS system and implant platform.JSES international · 2026Article
- [Virtual reality and digital shoulder surgery].Orthopadie (Heidelberg, Germany) · 2026Review
- Biomechanics of custom glenoid components in reverse total shoulder arthroplasty-a narrative review of concepts for surgeons.JSES reviews, reports, and techniques · 2026Review
- Neurologic Complications in Shoulder Surgery: Anatomy, Mechanisms, and Surgical Recommendations.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Review
- Article
- Clinical accuracy of humeral and glenoid component placement in total shoulder arthroplasty using ASTRA patient-specific guides.JSES international · 2025Article
- Advancing Precision in Shoulder Arthroplasty: Patient-Specific Instrumentation, Navigation, and Emerging Technologies.Clinics in orthopedic surgery · 2025Review
- Evaluation of the Baseplate Position and Screws in Reverse Total Shoulder Arthroplasty Using 3D Printed Patient-Specific Instrumentation.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- Patient-specific instrumentation in shoulder arthroplasty: high tech, low yield?Clinics in shoulder and elbow · 2025Article
- Glenoid morphology classification and computed tomography scanning prior to total shoulder arthroplasty: a population-level analysis from the Australian Orthopaedic Association National Joint Replacement Registry.JSES international · 2025Article
- Navigating the future: A comprehensive review of technology in shoulder arthroplasty.Journal of hand and microsurgery · 2025Review
- "From Neer to now - 80 years of shoulder arthroplasty".JSES international · 2025Review
- The present and future of preoperative planning.JSES international · 2025Article
- Comparison of patient-specific instrumentation (PSI) versus conventional instrumentation (CI) in shoulder arthroplasties: A Meta-Analysis and Systematic Review.Journal of orthopaedics · 2025Review
- Current trends in shoulder arthroplasty - Are the trends backed by evidence?Journal of clinical orthopaedics and trauma · 2025Article
- Retrospective MRI analysis of 418 adult shoulder joints to assess the physiological morphology of the glenoid in a low-grade osteoarthritic population.BMC medical imaging · 2025Article
- Complications following shoulder arthroplasty: A review of the recent literature.Journal of clinical orthopaedics and trauma · 2025Article
- Computer modeling and validation testing for glenoid component rotation and optimal glenoid screw angles for reverse shoulder arthroplasty in an Asian population.International orthopaedics · 2024Article
- Applications and accuracy of 3D-printed surgical guides in traumatology and orthopaedic surgery: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2024Article
- Experimental guide wire placement for total shoulder arthroplasty in glenoid models: higher precision for patient-specific aiming guides compared to standard technique without learning curve.BMC musculoskeletal disorders · 2024Article
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 at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere has been significant recent emphasis on the use of patient-specific instrumentation (PSI) in shoulder arthroplasty. However, clinical data are lacking to support the increased time and expense associated with PSI. Our purposes were to determine whether PSI significantly improves implantation accuracy during total shoulder arthroplasty (TSA) and to analyze available techniques and correlation with clinical outcomes. We hypothesized that PSI may improve glenoid component position radiographically but without correlation with clinical outcomes.
methodsThe MEDLINE, Scopus, Embase, and Cochrane Library databases were queried. Included articles reported use of any preoperative or intraoperative PSI techniques, models, or guides to assist with TSA prosthesis implantation. The primary outcomes were mean deviation from the preoperative plan in version (in degrees), inclination (in degrees), and entry-point offset on the glenoid (in millimeters).
resultsAmong the included articles, 518 TSA procedures (352 anatomic and 166 reverse) were performed. The mean postoperative errors in both version and inclination angles were 5° or less in 20 articles (90.9%) using PSI. Meta-analysis revealed no statistically significant differences in version error (
conclusionsMeta-analysis revealed no significant differences in accuracy between PSI and standard instrumentation. Although PSI may possess the potential to improve TSA techniques, further investigations regarding long-term clinical outcomes, impact on operating room time, and cost-effectiveness are warranted before PSI can be routinely recommended over conventional instrumentation.
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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.