Computer-aided custom-made hemipelvic prosthesis used in extensive pelvic lesions.
We review here our experience in the computer-aided design and manufacture and implantation of custom-made hemipelvic prostheses in 10 patients who underwent internal hemipelvectomy for extensive pelvic lesions. Computed tomography data and the rapid prototyping technique were used to make a precise model of each patient's pelvis for the simulated hemipelvectomy; the model was used to design and manufacture prostheses that were easy to implant because the location and orientation of the acetabulum was readily adjustable. Four patients died 6 to 10 months after surgery; the remaining 6 patients, monitored for 21 to 48 months, all had good hip function. There were early hip dislocations in 2 patients and wound-healing problems in 3, but all were treated successfully.
Dai
Ke-Rong
KR
Department of Orthopaedics, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China.
Yan
Meng-Ning
MN
Zhu
Zhen-An
ZA
Sun
Yue-Hua
YH
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D002813:Chondrosarcoma / Q000601:surgery; D017076:Computer-Aided Design; D005260:Female; D005354:Fibrosarcoma / Q000601:surgery; D018212:Giant Cell Tumor of Bone / Q000601:surgery; D006428:Hemipelvectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000601:surgery*; D010388:Pelvis / Q000000981:diagnostic imaging; D011474:Prosthesis Design / Q000379:methods*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome