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Patient-specific instrumentation (PSI) in total ankle arthroplasty: a systematic review

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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.

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Data Availability

Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.

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Funding

This study is supported by National Natural Science Foundation of China (grant number 81972107 and 82072494).

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, China-Japan Friendship Hospital, No. 2 Yinghua East Road, Chaoyang District, Beijing, 100029, China

    Qiuyuan Wang, Nianfei Zhang, Wanshou Guo, Weiguo Wang & Qidong Zhang

  2. Graduate School of Beijing University of Chine Medicine, No. 11, Bei San Huan Dong Lu, Chaoyang District, 100029, Beijing, China

    Qiuyuan Wang

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  1. Qiuyuan Wang
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  2. Nianfei Zhang
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  3. Wanshou Guo
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  4. Weiguo Wang
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Contributions

Qidong Zhang and Weiguo Wang contributed to the study design. Qiuyuan Wang contributed to the drafting of the manuscript. Qiuyuan Wang and Nianfei Zhang conducted the literature search, quality assessment and data collection. Wanshou Guo solved the cases of doubt. Weiguo Wang reviewed and edited the manuscript. All authors have read and approved the final manuscript.

Corresponding authors

Correspondence to Weiguo Wang or Qidong Zhang.

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Ethics approval was not required for this systematic review.

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As this was a systematic review, data from individual participants was not obtained and will not be published.

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The authors declare no competing interests.

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Wang, Q., Zhang, N., Guo, W. et al. Patient-specific instrumentation (PSI) in total ankle arthroplasty: a systematic review. International Orthopaedics (SICOT) 45, 2445–2452 (2021). https://doi.org/10.1007/s00264-021-05145-8

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  • DOI: https://doi.org/10.1007/s00264-021-05145-8

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