Patient-Specific Instrumentation and 3D Printing

What is patient-specific instrumentation?

Three-dimensional analysis, modelling and design, alongside 3D-printing of patient-specific instrumentation (PSI) has revolutionised orthopaedic surgery. It now forms a key part of our technological offer, integral to our orthopaedic and limb reconstruction practice.

These innovations enable us to determine precisely the character and extent of deformities and alignments, and to carry that detail through to the surgical planning stage. Analysis allows us to design and fabricate patient-specific instrumentation and implants, the use of which reduces the risk of intra- and post-operative complications. 

How is patient-specific instrumentation and 3D printing used?

We use PSI and 3D printing in the following ways: 

  • Patient-specific anatomy visualisation and deformity analysis: Computer Tomography (CT) scanning provides an extremely detailed and exacting analysis of bone and joint deformity. We also utilise a highly-advanced form of this scan, known as weightbeasring CT. With the help of our engineers, the CT data is converted to a 3D image and analysed using specialist software.
  • As a knowledge transfer tool: by helping the patient to visualise their deformity and our approach, they gain a better understanding of their procedure.
  • Customised treatment plans and surgical simulation: the 3D image, or a 3D printed anatomical model, supports the step-by-step planning of each surgery. 
  • PSI surgical guides: Intraoperative use of PSI jigs guarantees precision cutting and implantation during surgery, minimising surgical error and limiting trauma to surrounding tissue. 
  • Custom implants: 3D printing permits the creation of implants perfectly tailored to the patient’s anatomy.
  • Reduced time in theatre: virtual surgical planning and 3D-printed custom implants and surgical guides increase the efficiency of the surgery, reducing time in theatre and under anaesthesia for the patient.
  • Optimised bone alignment and improved outcomes: Surgical jigs ensure that bones are properly aligned, enabling normal weight-bearing and motion following surgery. Patients experience less pain and faster recovery times, as well as improved long-term function and aesthetics.
  • Cost efficiency: although potentially costly to set up, 3D printing and PSI use can save money over time. Fewer complications and shorter hospital stays can offset the initial investment.
  • Training: the technology is vital for training of both junior and senior specialists.

More information

3D technology, including the use of 3D analysis and modelling, virtual surgical planning and patient-specific instrumentation and implant design is a key part of our orthopaedic practice. 

For more information, contact a member of Professor Al Muderis’ team at

Norwest Private Hospital: (02) 8882 8882

Macquarie University Hospital: (02) 9812 3000