[Custom-made acetabular implants in revision total hip arthroplasty]

Area of Science:

• Orthopedic Surgery
• Biomaterials Engineering
• Reconstructive Surgery

Background:

• Acetabular bone loss presents a significant challenge in revision total hip arthroplasty.
• Effective management strategies are crucial for restoring hip function and patient mobility.

Purpose of the Study:

• To review the efficacy, benefits, and drawbacks of custom-made acetabular implants for severe bone defects.
• To evaluate custom implants as a viable treatment option in complex revision hip surgeries.

Main Methods:

• A targeted literature review was conducted using the PubMed database.
• Focus was placed on studies detailing the use and outcomes of custom-made acetabular implants.

Main Results:

• Custom-made acetabular implants demonstrated favorable clinical and radiological outcomes.
• A high survival rate exceeding 90% was reported across studies.

Conclusions:

• Custom-made acetabular implants are a dependable option for reconstructing severe acetabular defects and restoring the hip's center of rotation.
• Challenges include high costs and the time-intensive nature of planning and manufacturing.