Evidence map›Paper›PMID 40632446›Full record

ReviewCurrent reviews in musculoskeletal medicine2025

Indications, Technique, and Outcomes of Patient Specific Instrumentation for Osteotomy About the Knee.

Harmon S Khela, Monty S Khela, Varun Sriram, Grant G Schroeder, Ian Hollyer, Seth L Sherman

Abstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Electromagnetic navigation for femoral osteotomy using high-accuracy X-ray-to-CT registration.International journal of computer assisted radiology and surgery · 2026
    Article
  3. 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

6 authors.

Harmon S KhelaPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA. harmon.khela@pennmedicine.upenn.edu.
Monty S KhelaCreighton University School of Medicine, Omaha, NE, USA.
Varun SriramRenaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Grant G SchroederDepartment of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA, USA.
Ian HollyerDepartment of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA, USA.
Seth L ShermanDepartment of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewOsteotomies around the knee are well-established techniques used to correct lower-extremity malalignment. While osteotomies of the proximal tibia and distal femur have traditionally been performed free-hand, the advent of Patient-Specific Instrumentation (PSI) in the form of custom 3D printed cutting guides and implants offers surgeons a greater ability to individualize surgical corrections to a patient's unique bony anatomy. This review aims to investigate the current state of the literature surrounding the use and outcomes of PSI for knee osteotomies and the benefits and drawbacks of PSI compared to traditional techniques. RECENT

findingsRecent studies have demonstrated the potential benefits of PSI in knee osteotomy, including improvements in the accuracy of planned corrections, reductions in operative time and fluoroscopy exposure, and similar patient-reported outcomes. While increased costs and lead time represent drawbacks to the use of PSI, the technology continues to evolve such that these areas may improve over time. For osteotomy of the distal femur and proximal tibia, PSI offers surgeons an opportunity to improve surgical precision intra-operatively, with similar outcomes and complication rates as compared to traditional osteotomy techniques.

Indexed as

Distal femoral osteotomyHigh tibial osteotomyKnee osteotomyMechanical alignmentPatient-specific instrumentation

Identifiers

PMID40632446
PMCPMC12361020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.