Advancing Precision in Revision Hip Replacement

By Dr. Vijay Bose

Patient Overview:

A 31-year-old female patient presented with implant failure following a revision hip surgery. She was experiencing a dislocation of the acetabular cup implant, a complex issue that demanded a high level of surgical expertise and technical acumen.

Pre-operative condition

Surgical Approach:

Executing a meticulous surgical strategy, our approach centered on resolving the dislocated cup implant through pre-operative planning using the digital surgical platform, jajalmedical.com. In collaboration with Dr. Vijay Bose, the surgical team aimed for optimal outcomes in revision hip surgery. The solution included a customized hip columnar docking with divergent locking augment, designed to address the specific challenges posed by the dislocated cup implant, ensuring a secure and precise fit. 

pre-operative planning in 3D

3D-Printed Solution:

Furthermore, Jajal Medical’s contribution extended to the space of 3D printing, where a customized hip columnar docking with divergent locking augment was designed. This unique solution aimed to address the specific challenges posed by the dislocated acetabular cup implant, ensuring a secure and precise fit. 

3D-printed-hip-model  3D printed Bose Augment

 Technical Insight:

The post-operative success was attributed to the seamless integration of 3D planning and the tailored design of the hip columnar docking. The 3D-printed model played a pivotal role, offering a tangible representation during surgery and assisting in determining the optimal hip bone position. The locking screws, exhibiting perfect fitment, highlight the technical excellence achieved in this complex revision hip surgery. 

Bose-Augment-fitment-on-3D-Model  Bose Custom Columnar Docking Augment

Outcome:

Post-operatively, a detailed comparison with the initial planning phase revealed a promising result. The tailor-made hip columnar docking, steered by 3D planning and technical accuracy, led to a flawlessly integrated implant. The patient underwent a successful revision hip surgery, signifying a notable accomplishment in both surgical precision and the patient’s health.

Intra-operative 3D model usage Bose Augment fitment intra-operative   Post-operative bose augment x-ray

Dr. Vijay Bose
Apollo Hospital Chennai
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