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Patient Specific Instruments and Patient Individual Implants-A Narrative Review
Christian Benignus1, Peter Buschner2, Malin Kristin Meier3
1Department of Traumatology and Orthopedic Surgery, Hospital Ludwigsburg, Posilipostr. 4, 71640 Ludwigsburg, Germany.
Journal of Personalized Medicine
|March 29, 2023
Summary
Patient-specific implants and instruments offer promising results in joint replacement surgery, particularly for complex revision cases. Further research is needed, but early data suggests significant benefits for knee and hip arthroplasty.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Medical Innovation
Background:
- Joint arthroplasty is a common surgical procedure globally.
- Patient-specific implants and instruments are emerging innovations in joint replacement.
- Current data suggests potential benefits, especially in revision arthroplasty.
Purpose of the Study:
- To review current data on patient-specific implants and instruments in joint arthroplasty.
- To evaluate the emerging role and effectiveness of personalized surgical tools.
- To highlight applications in knee, hip, shoulder, and ankle surgeries.
Main Methods:
- Systematic literature review of studies on patient-specific implants and instruments.
- Analysis of data concerning surgical outcomes, particularly in revision scenarios.
- Comparison of patient-specific implants versus patient-specific instruments.
Main Results:
- Promising outcomes reported for patient-specific implants and instruments, especially in revision arthroplasty.
- Knee and hip arthroplasty show the most extensive experience with these personalized approaches.
- Patient-specific instruments are less common for shoulder and ankle procedures.
Conclusions:
- Patient-specific implants and instruments demonstrate potential benefits in joint arthroplasty.
- Further studies are required to fully establish the long-term utility and efficacy.
- Personalized surgical solutions show particular promise for complex revision joint surgeries.

