Recent Study Suggests That Customized, Individually Made Total Knee Implants Offer Advantages Over Off-the-Shelf Implants in Functional Performance and Pain Reduction During Daily Activities

A recent study published in the Journal of Personalized Medicine compared the effectiveness of Customized, Individually Made (CIM) total knee arthroplasty (TKA) implants to traditional Off-the-Shelf (OTS) implants.

Study Overview

Conducted by a single surgeon at a single center, the study involved 48 patients—16 received CIM implants, and 32 received OTS implants. The objective was to assess differences in knee function and patient-reported outcomes between the two groups.

Dr. Westerheide holding a knee implant in Granville, Ohio.

Key Findings

  • Functional Performance: Patients with CIM implants completed timed activities of daily living significantly faster than those with OTS implants. Functional performance was measured using the Aggregated Locomotor Function (ALF) score, which combines results from tests like the Timed Up and Go (TUG) and the Berg Balance Scale (BBS).
  • Pain Levels: The CIM group reported lower maximum pain sensations during specific activities compared to the OTS group.
  • Patient-Reported Outcomes: While both groups reported improvements, the CIM group had a higher proportion of excellent and good ratings in the objective and function categories of the Knee Society Score (KSS).


Implications

These findings suggest that CIM implants offer advantages in functional performance and pain reduction during daily activities. However, the study notes that while certain aspects of patient-reported outcomes were better in the CIM group, this superiority was not observed across all measured parameters.

Conclusion

The study contributes to the ongoing discussion about the benefits of personalized knee implants. It indicates that CIM prostheses can enhance functional outcomes and reduce pain during specific activities. However, further research with larger sample sizes and longer follow-up periods is necessary to fully understand the potential advantages of CIM over OTS implants.

For a more detailed understanding, you can access the full study here: https://pmc.ncbi.nlm.nih.gov/articles/PMC10456041/

For more information about the custom implants offered at Orthopedic Specialists & Sports Medicine by Dr. Edward Westerheide, please check out our Conformis Customized Knee Replacement page.

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