Orthonotes
Orthonotes
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v3.5 Fusion Pro
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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).