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World J Orthop. Mar 18, 2022; 13(3): 230-237
Published online Mar 18, 2022. doi: 10.5312/wjo.v13.i3.230
Patient-specific instrumentation in total ankle arthroplasty
Antonio Mazzotti, Alberto Arceri, Simone Zielli, Simone Bonelli, Valentina Viglione, Cesare Faldini
Antonio Mazzotti, Alberto Arceri, Simone Zielli, Simone Bonelli, Valentina Viglione, Cesare Faldini, The First Orthopaedics and Traumatologic Clinic, IRCCS Istituto Ortopedico RIzzoli, Bologna 40136, Italy
Antonio Mazzotti, Cesare Faldini, Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Bologna 40136, Italy
Author contributions: Mazzotti A and Arceri A conceived the presented idea; Mazzotti A made substantial contributions to study conception and design, and data acquisition, analysis, and interpretation, drafted the manuscript, and revised it critically; Arceri A coordinated and supervised manuscript preparation; Zielli S provided documentation, and helped shape the research, analysis, and manuscript; Bonelli S provided documentation and critical feedback; Viglione V contributed to the design and implementation of the research; Faldini C revised the manuscript critically and gave final approval of the version to be published; and all authors read and approved the final manuscript.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Antonio Mazzotti, MD, PhD, Adjunct Professor, The First Orthopaedics and Traumatologic Clinic, IRCCS Istituto Ortopedico RIzzoli, Via Pupilli 1, Bologna 40136, Italy. antonio.mazzotti@ior.it
Received: February 23, 2021
Peer-review started: February 23, 2021
First decision: July 28, 2021
Revised: August 9, 2021
Accepted: February 9, 2022
Article in press: February 9, 2022
Published online: March 18, 2022
Core Tip

Core Tip: The recent increase in the adoption of total ankle arthroplasty (TAA) reflects the improvements in implant designs and surgical techniques, including the use of preoperative navigation system and patient-specific instrumentation (PSI). The outcomes of TAA have generally been less satisfactory compared to those of other arthroplasties. Preoperative planning using PSI theoretically improves implant positioning and alignment. This review article assess the current literature regarding PSI in TAA.