There was a trend towards a protective effect  with PSCB for the risk of femoral component outliers , but the opposite was observed for the tibial component .
Conclusions This meta- analysis found no evidence that using patient-specific cutting blocks provides superior accuracy to using manual instrumentation during TKA
Purpose Because published studies on the accuracy achieved with patient-specific guides during total knee arthroplasty ( TKA ) contradict each other , this systematic review and meta- analysis sought to compare radiological TKA outcomes when patient-specific cutting blocks ( PSCB ) were used to the outcomes when st and ard manual instrumentation was used .
The value of patient-matched instrumentation in total knee arthroplasty.
The purpose of the current prospect i ve , r and omized study was to compare the value of a new mechanically aligned patient-matched instrument system for total knee arthroplasty ( TKA ) ( Visionaire ; Smith & Nephew , Inc , Memphis , Tenn ) ( VIS ) to that of st and ard TKA surgical instrumentation ( STD ) . Twenty-nine primary TKA patients were enrolled and completed surgery ( 15 VIS and 14 STD ) . Postoperatively , mechanical alignment was significantly closer to neutral zero in the VIS group ( 1.7 ° vs 2.8 ° ; P = .03 ) . Furthermore , the VIS group demonstrated significant reductions in duration of hospital stay , operative time , incision length , and number of used instrument trays ( P < .05 ) . Although additional research is underway to confirm these preliminary results , this evidence suggests that patient-matched instrumentation may support repeatable improvements in surgical accuracy and hospital efficiency
There was a trend towards a protective effect  with PSCB for the risk of femoral component outliers , but the opposite was observed for the tibial component .
Conclusions This meta- analysis found no evidence that using patient-specific cutting blocks provides superior accuracy to using manual instrumentation during TKA
Purpose Because published studies on the accuracy achieved with patient-specific guides during total knee arthroplasty ( TKA ) contradict each other , this systematic review and meta- analysis sought to compare radiological TKA outcomes when patient-specific cutting blocks ( PSCB ) were used to the outcomes when st and ard manual instrumentation was used .