No difference in mechanical alignment and femoral component placement between patient-specific instrumentation and conventional instrumentation in TKA

Verfasser / Beitragende:
[Huichao Fu, Jiaxing Wang, Shenyuan Zhou, Tao Cheng, Wen Zhang, Qi Wang, Xianlong Zhang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/11(2015-11-01), 3288-3295
Format:
Artikel (online)
ID: 605460825
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024 7 0 |a 10.1007/s00167-014-3115-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3115-1 
245 0 0 |a No difference in mechanical alignment and femoral component placement between patient-specific instrumentation and conventional instrumentation in TKA  |h [Elektronische Daten]  |c [Huichao Fu, Jiaxing Wang, Shenyuan Zhou, Tao Cheng, Wen Zhang, Qi Wang, Xianlong Zhang] 
520 3 |a Purpose: There is a rising interest in the use of patient-specific instrumentation (PSI) during total knee arthroplasty (TKA). The goal of this meta-analysis was to compare PSI with conventional instrumentation (CI) in patients undergoing TKA. Methods: A literature search was performed in PubMed, Embase, Springer, Ovid, China National Knowledge Infrastructure, and the Cochrane Library. A total of 10 randomized controlled studies involving 837 knees comparing outcomes of PSI TKAs with CI TKAs were included in the present analysis. Outcomes of interest included component alignment, surgical time, blood loss, and hospital stay. Results: The results presented no significant differences between the two instrumentations in terms of restoring a neutral mechanical axis and femoral component placement. However, their differences have been noted regarding the alignment of the tibial component in coronal and sagittal planes. Also, 3min less surgical time was used in PSI patients. Conclusions: Based on these findings, PSI appeared not to be superior to CI in terms of the post-operative mechanical axis of the limb or femoral component placement. Despite a statistical difference for operative duration, the benefit of a small reduction in surgical time with PSI is clinically irrelevant. Level of evidence: Therapeutic study (systematic review and meta-analysis), Level I. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Patient-specific instrumentation  |2 nationallicence 
690 7 |a PSI  |2 nationallicence 
690 7 |a Conventional instrumentation  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a TKA  |2 nationallicence 
700 1 |a Fu  |D Huichao  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
700 1 |a Wang  |D Jiaxing  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
700 1 |a Zhou  |D Shenyuan  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
700 1 |a Cheng  |D Tao  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
700 1 |a Zhang  |D Wen  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
700 1 |a Wang  |D Qi  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
700 1 |a Zhang  |D Xianlong  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3288-3295  |x 0942-2056  |q 23:11<3288  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3115-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3115-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fu  |D Huichao  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Jiaxing  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhou  |D Shenyuan  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cheng  |D Tao  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhang  |D Wen  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Qi  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhang  |D Xianlong  |u Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 600 Yishan Road, 200233, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3288-3295  |x 0942-2056  |q 23:11<3288  |1 2015  |2 23  |o 167