Mr Matthew Gee MBBS, BSC, MSC, FRCS (Tr&Orth) Consultant Orthopaedic Surgeon

Custom Hip Replacement

Custom hip replacement encompasses the use of 3D planning software with the ability to make a custom made femoral prosthesis if needed. They are performed when it is not possible or advisable to use the standard hip implants to replace your joint. A custom made hip may produce better results because it will be a perfect match thus restoring normal anatomy.

Who Should Consider Custom Hip Replacement?

Standard implants will often be the best choice when you are having hip replacement surgery, but in some cases your orthopaedic surgeon may recommend a custom made one instead. You might need a custom hip implant if there is anything unusual about your anatomy, such as a bone deformity from previous surgery. Individual differences in the size, shape and angle of the hips can also make it difficult to fit a standard implant into your joint. A poorly fitting implant could cause problems such as limping, back pain, or a change in leg length.

The Procedure

Prior to surgery CT scans of the joint will be taken and a 3D planning software (HipPlan) used to accurately assess and plan the hip replacement. It allows the surgeon to restore leg length and femoral offset ensuring optimum muscle function and joint stability. If required it also enables a custom femoral stem to be manufactured. This will be a one-off implant designed to be a perfect match for you.

Risks and Benefits

Custom hip replacement can be a better option than a standard implant for some patients. If your doctor recommends this option, you should understand the following risks and benefits:

  • Surgery always carries some risks, such as infection, bleeding, blood clots and nerve damage. Other risks specific to total hip replacement include dislocation and leg length discrepancy. The chances of serious complications happening is small, but your surgeon will explain them in detail before the operation.
  • The artificial joint is designed to function for at least 15 years, but further surgery may be needed if it has to be revised. The commonest reasons for revision are dislocation, infection and wear.
  • Having a custom made implant can increase the chances of success and make it easier to recover your mobility after the operation. You are less likely to experience problems with the joint after surgery and the implant may last longer as there can be less wear and tear when it fits perfectly.

For more information about this please follow the links below:

If you think that a custom hip replacement might be the right option for you, get in touch to arrange a consultation.


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