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. 2014 Jan 7;38(2):259–265. doi: 10.1007/s00264-013-2230-9

Table 1.

Comparative studies for patient-specific instruments (PSI) assessments

Study Patient System Implant Method HKA CTA CFA STA SFA
Nam et al. [16] 2013 41 Signature Biomet (MRI) Vanguard Complete Knee System (Biomet) X-rays 0.8° ± 2.9°
29.3 % outliers
0.4° ± 1.6°
12.8 % outliers
0.1° ± 1.5°
9.8 % outliers
NA NA
Chen et al. [15] 2013 29 Zimmer PSI system (MRI) Zimmer Nexgen LPS system X-rays 179.2 ± 3.4
Nine outliers (31 %)
89.8 ± 1.9
Three outliers (10 %)
89.9 ± 2.1
Two outliers (7 %)
84.2 ± 3.4
Seven outliers (24 %)
87.7 ± 2.6
Seven outliers (24 %)
Boonen et. al [17] 2013 45 Signature Biomet (MRI) Vanguard Complete Knee System (Biomet) X-rays 179° ± 2.8
30 % outliers
90° ± 2.0
9 % outliers
89° ± 2.1
13 % outliers
92° ± 3.2
33 % outliers
96° ± 5
49 % outliers
Parratte et al. [18] 2013 20 Zimmer PSI system (MRI) Zimmer Nexgen LPS system X-rays 179° (171–185)
4 outliers
(20 %)
89.1 (85–96) 90.1 (84–83) 5.9 (3–9) 8.15 (2–14)
Pietsch et al. [14] 2013 50 Zimmer PSI system (MRI) Zimmer Nexgen LPS system X-rays 3 outliers
(6 %)
4 outliers
(8 %)
5 outliers
(10 %)
3 outliers
(6 %)
3 outliers
(6 %)
Daniilidis et al. [19] 2013 150 Visionaire PSI Smith&Nephew (MRI) Genesis II (Smith and Nephew) X-rays 178.4 ± 1.5
14 outliers (9.3 %)
NA NA NA NA
Vundelinckx et al. [20] 2013 31 Visionaire PSI Smith&Nephew (MRI) Genesis II (Smith and Nephew) X-rays 183 ± 2.59 NA NA NA NA
Koch et al. [21] 2013 301 MyKnee Medacta (CT) GMK (Medacta) X-rays 180.1° ± 2.0
34 outliers (11.7 %)
11 outliers (3.8 %) 13 outliers (4.5 %) 37 outliers (12.3 %) 27 outliers (9 %)
Scholes et al. [22] 2013 30 Zimmer PSI system (MRI) Zimmer Nexgen LPS system Nav 179.5°
8 outliers
(27 %)
NA NA NA NA
Lustig et al. [23] 2013 60 Visionaire Smith&Nephew (MRI) Genesis II (S&N) Nav 179.8
20.9 % outliers
NA NA NA NA
Daniilidis et al. [24] 2012 124 Visionaire Smith&Nephew (MRI) Genesis II (Smith and Nephew) X-rays 178.5 ± 1.7
11 outliers (11 %)
NA NA NA NA
Bali et al. [13] 2012 32 Visionaire Smith&Nephew (MRI) Genesis II (Smith and Nephew) X-rays 179.9
3 outliers (9.4 %)
NA NA NA NA
Boonen et al. [25] 2012 38 Signature Biomet (MRI) Vanguard Complete Knee System (Biomet) X-rays 181° ± 4
11 outliers (29 %)
91° ± 2
7 outliers
(18 %)
90° ± 2
2 outliers
(5 %)
94° ± 4
14 outliers
(37 %)
85° ± 4
16 outliers
(42 %)
Ng et al. [26] 2012 569 Signature Biomet (MRI) Vanguard Complete Knee System (Biomet) X-rays 180.6°
9 % outliers
89.9°
10 % outliers
90.7°
22 % outliers
NA NA
Conteduca et al. [7] 2012 12 Visionaire Smith&Nephew (MRI) Journey BCS (S&N) Nav NA 1.2° ± 1.5
2 outliers
(16 %)
1.2° ± 0.6
2 outliers
(16 %)
3.8° ± 2.4
9 outliers
(75 %)
+0.5° ± 2.15
3 outliers
(25 %)
Noble et al. [27] 2012 15 Visionaire Smith&Nephew (MRI) Legion Total Knee System (Smith & Nephew) X-rays 181.7 NA NA NA NA
Nunley et al. [28] 2012 57 Vanguard total knee system (Biomet) (MRI) Signature system (Biomet) CT-scan 26 % outliers NA NA NA NA

HKA hip-knee-ankle angle, CTA coronal tibial angle, CFA coronal femoral angle, STA sagittal tibial angle, SFA sagittal femoral angle