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Custom-made Trabecular Metal Acetabular Component in Total Hip Revision
Roberto Dantas Queiroz1, David Jeronimo Peres Fingerhut1,2, Luiz Henrique Saito1,3
1Serviço de Ortopedia e Traumatologia, Hospital do Servidor Público Estadual de São Paulo, São Paulo, SP, Brasil.
This case report details a total hip arthroplasty revision surgery (THARS) using a custom implant to fix a severe acetabular defect. It highlights the surgical approach for complex hip reconstruction challenges.
Area of Science:
- Orthopedic Surgery
- Biomaterials Engineering
- Medical Device Design
Background:
- Severe acetabular defects pose significant challenges in total hip arthroplasty revision.
- Existing literature lacks detailed descriptions of surgical planning and procedures for custom prostheses.
- Technical complexity and high costs associated with custom implants limit their widespread reporting.
Purpose of the Study:
- To demonstrate a total hip arthroplasty revision surgery (THARS) utilizing a custom-made trabecular metal acetabular component.
- To provide a detailed account of the surgical planning and procedural steps for a complex acetabular defect reconstruction.
- To contribute to the literature by documenting the use of customized implants in challenging revision hip surgeries.
Main Methods:
- Case report of a patient with a severe acetabular defect requiring revision surgery.
- Utilized a custom-designed trabecular metal acetabular component for anatomical reconstruction.
- Detailed surgical technique including pre-operative planning and intra-operative execution.
Main Results:
- Successful implantation of the custom trabecular metal acetabular component.
- Correction of the severe acetabular defect was achieved.
- The procedure addressed the complex reconstructive needs of the patient.
Conclusions:
- Custom-made trabecular metal acetabular components are a viable option for correcting severe acetabular defects in THARS.
- Detailed reporting of such complex cases is crucial for advancing surgical techniques and patient outcomes.
- Further research into cost-effective planning and manufacturing of custom implants is warranted.
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