Publication:
Patient-specific instrumentation makes sense in total knee arthroplasty

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dc.contributor.authorLeón Muñoz, Vicente J.
dc.contributor.authorLópez López, Mirian
dc.contributor.authorSantonja Medina, Fernando
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2025-01-31T10:07:34Z
dc.date.available2025-01-31T10:07:34Z
dc.date.issued2022-08-03
dc.description© 2022 Informa UK Limited. This document is the Published Manuscript version of a Published Work that appeared in final form in Expert Review of Medical Devices. To access the final edited and published work see https://doi.org/10.1080/17434440.2022.2108320
dc.description.abstractIntroduction: Patient-specific instrumentation (PSI) for total knee arthroplasty (TKA) surgery was initially developed to increase accuracy. The potential PSI benefits have expanded in the last decade, and other advantages have been published. However, different authors are critical of PSI and argue that the advantages are not such and do not compensate for the extra cost. This article aims to describe the recently published advantages and disadvantages of PSI. Areas covered: Narrative description of the latest publications related to PSI in accuracy, clinical and functional outcomes, operative time, efficiency, and other benefits. Expert opinion: We have published high accuracy of the system, with a not clinically relevant loss of accuracy, significantly higher precision with PSI than with conventional instruments, and a high percentage of cases in the optimal range and similar to that obtained with computer-assisted navigation, greater imprecision for tibial slope, a significant blood loss reduction, and time consumption, an acceptable and non-significant increase in the cost per procedure, and no difference in complications during hospital admission and at 90 days. We think that PSI will not follow the Scott Parabola and that it will continue to be a valuable type of device in some instances of TKA surgery.es
dc.formatapplication/pdfes
dc.format.extent10es
dc.identifier.citationExpert Review of Medical Devices, 2022, Vol. 19, Issue 6, pp. 489-497
dc.identifier.doihttps://doi.org/10.1080/17434440.2022.2108320
dc.identifier.issnPrint: 1743-4440
dc.identifier.issnElectronic: 1745-2422
dc.identifier.urihttp://hdl.handle.net/10201/149854
dc.languageenges
dc.publisherTaylor and Francis Group
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://www.tandfonline.com/doi/full/10.1080/17434440.2022.2108320
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectPatient specific instrumentses
dc.subjectPSIes
dc.subjectTotal knee arthroplastyes
dc.subjectTKAes
dc.subjectTotal knee replacementes
dc.subjectTKRes
dc.subjectPatient matched technologyes
dc.subjectKneees
dc.titlePatient-specific instrumentation makes sense in total knee arthroplastyes
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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