Comment on

• Unsatisfactory accuracy as determined by computer navigation of VISIONAIRE patient-specific instrumentation for total knee arthroplasty.

  Lustig S, Scholes CJ, Oussedik SI, Kinzel V, Coolican MR, Parker DA. Lustig S, et al. J Arthroplasty. 2013 Mar;28(3):469-73. doi: 10.1016/j.arth.2012.07.012. Epub 2012 Nov 12. J Arthroplasty. 2013. PMID: 23151366
• Functional and radiographic short-term outcome evaluation of the Visionaire system, a patient-matched instrumentation system for total knee arthroplasty.

  Vundelinckx BJ, Bruckers L, De Mulder K, De Schepper J, Van Esbroeck G. Vundelinckx BJ, et al. J Arthroplasty. 2013 Jun;28(6):964-70. doi: 10.1016/j.arth.2012.09.010. Epub 2013 Mar 25. J Arthroplasty. 2013. PMID: 23535285
• Patient-specific instrumentation does not shorten surgical time: a prospective, randomized trial.

  Hamilton WG, Parks NL, Saxena A. Hamilton WG, et al. J Arthroplasty. 2013 Sep;28(8 Suppl):96-100. doi: 10.1016/j.arth.2013.04.049. Epub 2013 Aug 1. J Arthroplasty. 2013. PMID: 23910821 Clinical Trial.
• In-vivo alignment comparing patient specific instrumentation with both conventional and computer assisted surgery (CAS) instrumentation in total knee arthroplasty.

  Barrett W, Hoeffel D, Dalury D, Mason JB, Murphy J, Himden S. Barrett W, et al. J Arthroplasty. 2014 Feb;29(2):343-7. doi: 10.1016/j.arth.2013.06.029. Epub 2013 Aug 29. J Arthroplasty. 2014. PMID: 23993343
• Patient specific instrumentation.

  Lionberger DR, Crocker CL, Chen V. Lionberger DR, et al. J Arthroplasty. 2014 Sep;29(9):1699-704. doi: 10.1016/j.arth.2014.03.019. Epub 2014 Mar 28. J Arthroplasty. 2014. PMID: 24810539 Clinical Trial.
• Patient-specific instrumentation in total knee arthroplasty provides no improvement in component alignment.

  Stronach BM, Pelt CE, Erickson JA, Peters CL. Stronach BM, et al. J Arthroplasty. 2014 Sep;29(9):1705-8. doi: 10.1016/j.arth.2014.04.025. Epub 2014 Apr 26. J Arthroplasty. 2014. PMID: 24890995
• Current data do not support routine use of patient-specific instrumentation in total knee arthroplasty.

  Voleti PB, Hamula MJ, Baldwin KD, Lee GC. Voleti PB, et al. J Arthroplasty. 2014 Sep;29(9):1709-12. doi: 10.1016/j.arth.2014.01.039. Epub 2014 May 27. J Arthroplasty. 2014. PMID: 24961893