Does Implant Design Influence the Accuracy of Patient Specific Instrumentation in Total Knee Arthroplasty?
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 25861920.
- Also identified by DOI 10.1016/j.arth.2015.03.019.
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Abstract
PSI software adjusts preoperative planning to accommodate differences in implant design. Such adjustments may influence the accuracy of intraoperative jig placement, bone resection, or component placement. Our purpose was to determine whether implant design influences PSI accuracy. 96 and 123 PSI TKA were performed by a single surgeon using two different implant systems and identical PSI software. Femoral coronal alignment outliers were greater for Implant 1 (23.9% Implant 1 vs. 13.4% Implant 2; P=0.050). Tibial coronal alignment outliers were greater for Implant 2 (10.9% Implant 1 vs. 22.7% Implant 2; P=0.025). There was no difference in overall mechanical axes. Differences in implant design can influence bone resection and component alignment. PSI software rationale must align with surgeons' intraoperative goals.
Medical subject headings
- Arthroplasty, Replacement, Knee
- Knee Prosthesis
- Prosthesis Design
Anatomy
- femur
- knee
- tibia