Technology in Total Knee Arthroplasty in 2023.

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Abstract

[Indexed for MEDLINE] 2. J Am Acad Orthop Surg. 2018 Aug 15;26(16):e342-e348. doi: 10.5435/JAAOS-D-16-00719. 3D-printed Patient-specific Guides for Hip Arthroplasty. Henckel J(1), Holme TJ, Radford W, Skinner JA, Hart AJ. Author information: (1)From Royal National Orthopaedic Hospital, Stanmore (RNOH), United Kingdom (Dr. Henckel, Dr. Holme, and Dr. Skinner), and University College London, United Kingdom (Dr. Hart) and Chelsea and Westminster Hospital Foundation Trust, London, United Kingdom (Dr. Radford). Surgeons and engineers constantly search for methods to improve the surgical positioning of implants used for joint arthroplasty. Rapid prototyping is being used to develop patient-specific instrumentation (PSI) and has already been successfully translated into large-scale clinical use for knee arthroplasty. PSI has been used in shoulder arthroplasty; however, it is not yet known whether PSI provides improved accuracy and outcomes compared with conventional methods in either shoulder arthroplasty or knee arthroplasty. In the hip, PSI has been limited to the positioning of custom-manufactured implants and a small number of surgeons testing the emerging solutions from different manufacturers. Early results indicate consistent accurate positioning of implants with the use of PSI in hip arthroplasty but with added costs and uncertain effect on clinical outcomes. DOI: 10.5435/JAAOS-D-16-00719