Evidence map›Paper›PMID 42027407›Full record

ArticleFoot & ankle orthopaedics2026

A Comparison of Radiographic Alignment Using Patient-Specific and Standard Instrumentation in Total Ankle Arthroplasty.

Nicholas Veale, Kristian Efremov, Colin Wood, Matthew Beckles, Riley Smith, Gloria Coden, Mark Slovenkai, Kurt Hofmann

Abstract read
In one paragraph

Article in Foot & ankle orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Nicholas VealeBoston Bone and Joint Institute, Waltham, MA, USA.ORCID https://orcid.org/0000-0002-7264-3238
Kristian EfremovDepartment of Orthopaedic Surgery, New England Baptist Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0003-1490-4361
Colin WoodBoston Bone and Joint Institute, Waltham, MA, USA.ORCID https://orcid.org/0009-0000-8577-8919
Matthew BecklesBoston Bone and Joint Institute, Waltham, MA, USA.ORCID https://orcid.org/0009-0009-8102-4912
Riley SmithBoston Bone and Joint Institute, Waltham, MA, USA.ORCID https://orcid.org/0009-0007-7524-7226
Gloria CodenDepartment of Orthopaedic Surgery, New England Baptist Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0003-2546-2343
Mark SlovenkaiBoston Bone and Joint Institute, Waltham, MA, USA.
Kurt HofmannBoston Bone and Joint Institute, Waltham, MA, USA.ORCID https://orcid.org/0000-0001-8852-8296

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The rate of total ankle arthroplasty (TAA) is projected to continue increasing. Implant malalignment is a significant predictor of complications; however intraoperative evaluation of alignment can be challenging. Patient-specific instrumentation (PSI) was designed to improve implant positioning in TAA. This study compares radiographic alignment and postoperative function in patients who underwent TAA with PSI with an Infinity implant vs standard instrumentation (SI) with a Salto Talaris implant. Methods: We retrospectively reviewed 114 TAA cases using PSI compared with 80 TAA surgeries using SI. Demographics, radiographic alignment, range of motion (ROM), complications, and postoperative American Orthopaedic Foot & Ankle Society (AOFAS) pain, function, and alignment scores were compared at a minimum 1-year follow-up. Results: The PSI cohort demonstrated significantly better radiographic alignment, particularly in tibial component positioning, and reduced frequency of lucencies compared with the SI cohort. However, operative time was significantly longer in the PSI group (mean 119.0 ± 34.5 vs 96.3 ± 26.0 minutes; Conclusion: In this study, PSI was associated with modest differences in tibial alignment and early radiographic lucencies compared with SI, without clear significant differences in short-term clinical outcomes. Both cohorts had similar postoperative range of motion and AOFAS scores. Given the retrospective design and short follow-up, further investigation is needed to assess long-term clinical impact and implant survivorship. Level of Evidence: Level III, retrospective comparative study.

Indexed as

ankle arthroplasty techniquesorthopaedic implant positioningpatient-specific instrumentationpreoperative planningradiographic analysis

Identifiers

PMID42027407
PMCPMC13100391

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