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

Acta orthopaedica et traumatologica turcica
Ilhan AlcelikAlex Acornley

Abstract

The 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. We 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. A 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. Our results suggest that at present PS instrumentation is not superior to ST instrumentation in primary total knee arthroplasty. Level 1, Systematic review of therapeutic studies.

References

Nov 10, 2004·Clinical Orthopaedics and Related Research·Michael E BerendKenneth E Davis
Apr 21, 2005·BMC Medical Research Methodology·Stela Pudar HozoIztok Hozo
Jul 21, 2006·The Cochrane Database of Systematic Reviews·V LongS Hatt
Jul 20, 2007·The Cochrane Database of Systematic Reviews·S GreenA Forbes
Sep 26, 2008·Orthopedics·Adolph V LombardiJoanne B Adams
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Aug 3, 2011·Clinical Orthopaedics and Related Research·Vincent Y NgAdolph V Lombardi
Apr 26, 2013·Clinical Orthopaedics and Related Research·Jan VictorJohan Bellemans
Aug 3, 2013·Clinical Orthopaedics and Related Research·Yoon Whan RohMyung Chul Lee
Aug 10, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·B BoonenN P Kort
Aug 15, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sébastien ParratteJean-Noël Argenson
Mar 13, 2014·The Journal of Arthroplasty·William G Hamilton, Nancy L Parks

❮ Previous
Next ❯

Citations

Dec 15, 2017·Journal of Healthcare Engineering·Xinyu LiWeiyi Chen
Nov 1, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Song GongGuo Chen
Jun 4, 2019·Expert Review of Medical Devices·Vicente J León-MuñozFernando Santonja-Medina
Sep 9, 2020·The Journal of Knee Surgery·Vicente Jesús León-MuñozFernando Santonja-Medina
Mar 28, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chaturong PornrattanamaneewongRapeepat Narkbunnam
May 1, 2021·Journal of Clinical Medicine·Vicente J León-MuñozFernando Santonja-Medina
Aug 26, 2021·BMC Musculoskeletal Disorders·László TörökEndre Varga

❮ Previous
Next ❯

Software Mentioned

Review Manager

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.