Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Patient-Specific Instrumentation in Arthroplasty

PSI uses preop MRI/CT to fabricate custom cutting jigs. Goal: improve accuracy, reduce OR time/inventory; evidence shows marginal accuracy gains without clear functional benefit. Limitations: cost, imaging/manufacture time, error propagation if imaging off. Best reserved for complex deformity or limited instrument settings. Distinguish PSI (custom guides) from custom implants (rare).

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PSI uses preop MRI/CT to fabricate custom cutting jigs. Goal: improve accuracy, reduce OR time/inventory; evidence shows marginal accuracy gains without clear functional benefit. Limitations: cost, imaging/manufacture time, error propagation if imaging off. Best reserved for complex deformity or limited instrument settings. Distinguish PSI (custom guides) from custom implants (rare).
MCQs

High-yield practice questions

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Question 1

What is the primary goal of Patient-Specific Instrumentation (PSI) in arthroplasty?

Question 2

Which of the following is a limitation of Patient-Specific Instrumentation (PSI)?

Question 3

Which imaging modality is commonly used for the fabrication of PSI for knee arthroplasty?

Question 4

What is a key difference between Patient-Specific Instrumentation (PSI) and custom implants?

Question 5

What is a major reason why PSI does not consistently improve alignment accuracy in TKA?

Question 6

Which of the following systems uses CT imaging to manufacture custom cutting jigs?

Question 7

What is one of the claimed advantages of using PSI in arthroplasty?

Question 8

In the context of PSI, what does the term 'seating error' refer to?

Question 9

Which of the following has been noted in studies regarding the operative time when using PSI?

Question 10

What is the primary imaging modality used by the Visionaire system for PSI?