Patient-specific Instrumentation (PSI) in Total Ankle Arthroplasty: a Systematic Review

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2021 Aug 4

PMID 34345975

Citations 5

Authors

Qiuyuan Wang

Nianfei Zhang

Wanshou Guo

Weiguo Wang

Qidong Zhang

Affiliations

Soon will be listed here.

Abstract

Background: Patient-specific instrument (PSI) may theoretically make total ankle arthroplasty (TAA) more accurate. Several studies have reported the outcomes of PSI TAA. The aim of this study is to systematically review the literature of PSI TAA.

Methods: PubMed, Embase, Web of Science, and Cochrane Library databases were systematically reviewed according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines for PSI TAA. The quality of the included studies was evaluated according to Methodological Index for Non-Randomized Studies (MINORS).

Result: Nine articles were ultimately included in the systematic review. The implant position and function outcome of TAA was similar between PSI and SI. Prediction accuracy of implant size remained great difference. PSI can shorten the operative time and fluoroscopy time. The quality of current studies on PSI TAA is insufficient to produce high-level evidence.

Conclusion: PSI can get similar implant position and clinical outcome in TAA compared to SI, but current evidence is not strong enough to evaluate PSI TAA.

Citing Articles

Standard Total Ankle Arthroplasty vs. Patient-Specific Instrumentation: A Comparative Study.

Arceri A, Abdi P, Mazzotti A, Zielli S, Artioli E, Langone L J Pers Med. 2024; 14(7).

PMID: 39064024 PMC: 11278035. DOI: 10.3390/jpm14070770.

Learning curve of total ankle arthroplasty: a systematic review.

Arshad Z, Haq I, Bhatia M Arch Orthop Trauma Surg. 2023; 144(2):591-600.

PMID: 37917408 DOI: 10.1007/s00402-023-05064-w.

Patient Specific Instruments and Patient Individual Implants-A Narrative Review.

Benignus C, Buschner P, Meier M, Wilken F, Rieger J, Beckmann J J Pers Med. 2023; 13(3).

PMID: 36983609 PMC: 10051718. DOI: 10.3390/jpm13030426.

Application of 3D printed patient-specific instruments in the treatment of large tibial bone defects by the Ilizarov technique of distraction osteogenesis.

Zheng H, Wang L, Jiang W, Qin R, Zhang Z, Jia Z Front Surg. 2023; 9:985110.

PMID: 36684263 PMC: 9852528. DOI: 10.3389/fsurg.2022.985110.

Ankle and foot surgery: from arthrodesis to arthroplasty, three dimensional printing, sensors, artificial intelligence, machine learning technology, digital twins, and cell therapy.

Hernigou P, Scarlat M Int Orthop. 2021; 45(9):2173-2176.

PMID: 34448029 PMC: 8390078. DOI: 10.1007/s00264-021-05191-2.

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