Comparative Study with and without the Use of 3D Prototyping of an Unconventional Technique in the Surgical Planning of Revision of Total Hip Arthroplasty

This article presents a comparison between two cases in which there was a need for revision of total hip arthroplasty due to aseptic acetabular failure. We used 3D prototyping in one of the cases to perform an unconventional technique of molding synthesis material before the procedure to evaluate the time saved in the transoperative period in complex cases.

Keywords
arthroplasty, replacement, hip; surgical planning; 3D printing

Authorship

Alonso Ranzzi

Department of Orthopedics and Traumatology, Santa Casa de Misericórdia de Porto Alegre, Rio Grande do Sul, BrazilSanta Casa de Misericórdia de Porto AlegreBrazilRio Grande do Sul, BrazilDepartment of Orthopedics and Traumatology, Santa Casa de Misericórdia de Porto Alegre, Rio Grande do Sul, Brazil

Department of Orthopedics and Traumatology, Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, BrazilUniversidade Federal de Ciências da Saúde de Porto AlegreBrazilRio Grande do Sul, BrazilDepartment of Orthopedics and Traumatology, Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, Brazil

https://orcid.org/0000-0002-8118-968X

Rafael de Luca de Lucena Address for correspondence Rafael de Luca de Lucena, MD, Serviço de Ortopedia e Traumatologia, Santa Casa de Misericórdia de Porto Alegre, rua Professor Annes Dias, 135, 2o andar – Centro Histórico, Porto Alegre, RS, 90460-150, Brazil (e-mail: rfdldl@gmail.com).

Orthopedics and Traumatology Service, Santa Casa de Misericórdia de Porto Alegre, Rio Grande do Sul, BrazilSanta Casa de Misericórdia de Porto AlegreBrazilRio Grande do Sul, BrazilOrthopedics and Traumatology Service, Santa Casa de Misericórdia de Porto Alegre, Rio Grande do Sul, Brazil

Orthopedics and Traumatology Service, Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, BrazilUniversidade Federal de Ciências da Saúde de Porto AlegreBrazilRio Grande do Sul, BrazilOrthopedics and Traumatology Service, Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, Brazil

https://orcid.org/0000-0002-0952-7488

Carlos Roberto Schwartsmann

Department of Clinical Surgery, Orthopedics and Traumatology, Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, BrazilUniversidade Federal de Ciências da Saúde de Porto AlegreBrazilRio Grande do Sul, BrazilDepartment of Clinical Surgery, Orthopedics and Traumatology, Universidade Federal de Ciências da Saúde de Porto Alegre, Rio Grande do Sul, Brazil

https://orcid.org/0000-0002-8669-3084

Carlos Roberto Galia

Department of Surgery, Orthopedics and Traumatology, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilUniversidade Federal do Rio Grande do SulBrazilPorto Alegre, Rio Grande do Sul, BrazilDepartment of Surgery, Orthopedics and Traumatology, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

https://orcid.org/0000-0003-1731-4543

Marina Cornelli Girotto

https://orcid.org/0000-0002-3390-903X

Leandro de Freitas Spinelli

Graduate Program in Design and Manufacturing Processes, Bioengineering, Biomechanics and Biomaterials Laboratory, Universidade de Passo Fundo, Rio Grande do Sul, BrazilUniversidade de Passo FundoBrazilRio Grande do Sul, BrazilGraduate Program in Design and Manufacturing Processes, Bioengineering, Biomechanics and Biomaterials Laboratory, Universidade de Passo Fundo, Rio Grande do Sul, Brazil

https://orcid.org/0000-0001-8125-7104

Address for correspondence Rafael de Luca de Lucena, MD, Serviço de Ortopedia e Traumatologia, Santa Casa de Misericórdia de Porto Alegre, rua Professor Annes Dias, 135, 2o andar – Centro Histórico, Porto Alegre, RS, 90460-150, Brazil (e-mail: rfdldl@gmail.com).

Conflict of Interests

The author has no conflict of interests to declare.

SCIMAGO INSTITUTIONS RANKINGS

Figures

Figures (5)

Thumbnail

Fig. 1
(A) Preoperative radiographs (case 1). (B) Postoperative radiographs.

Thumbnail

Fig. 2
3D prototype (case 1) printed after being processed based on a computed tomography scan.

Thumbnail

Fig. 3
(A) Ipsilateral iliac and posterolateral incisions (case 1). (B) Transoperative image of cemented acetabular component to be revised. (C-D) Acetabular component removed. (E) Acetabular failure after removal of the acetabular component. (F) Molded reconstruction plate embedded in the acetabulum. (G) Planning using the 3D biomodel with the precast plate.

Thumbnail

Fig. 4
(A) Reconstruction plate and acetabular cutter for preoperative planning. (B) Autologous bone graft of the iliac structured as a lid. (C) Graft cover used in the acetabular fundus to avoid cement extravasation into the pelvis. (D) Final result of the cemented acetabular component reviewed.

Thumbnail

Fig. 5
(A) Preoperative radiograph evidencing important osteoarthrosis in the right hip (case 2). (B) Immediate postoperative radiograph. (C) Postoperative radiograph 15 years later, with Paprosky type-3B failure. (D) Immediate postoperative radiograph of the revision sugery. (E) Postoperative radiograph with two years of evolution, evidencing osteointegration of the graft in the acetabular fundus.

Fig. 1 (A) Preoperative radiographs (case 1). (B) Postoperative radiographs.

Fig. 2 3D prototype (case 1) printed after being processed based on a computed tomography scan.

Fig. 3 (A) Ipsilateral iliac and posterolateral incisions (case 1). (B) Transoperative image of cemented acetabular component to be revised. (C-D) Acetabular component removed. (E) Acetabular failure after removal of the acetabular component. (F) Molded reconstruction plate embedded in the acetabulum. (G) Planning using the 3D biomodel with the precast plate.

Fig. 4 (A) Reconstruction plate and acetabular cutter for preoperative planning. (B) Autologous bone graft of the iliac structured as a lid. (C) Graft cover used in the acetabular fundus to avoid cement extravasation into the pelvis. (D) Final result of the cemented acetabular component reviewed.

Fig. 5 (A) Preoperative radiograph evidencing important osteoarthrosis in the right hip (case 2). (B) Immediate postoperative radiograph. (C) Postoperative radiograph 15 years later, with Paprosky type-3B failure. (D) Immediate postoperative radiograph of the revision sugery. (E) Postoperative radiograph with two years of evolution, evidencing osteointegration of the graft in the acetabular fundus.

How to cite

copy

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

Acompanhe os números deste periódico no seu leitor de RSS

Versão para download de PDF

PDF

Inglês
Português

Versões e tradução automática

Versão original do texto

English
Português

Tradução automática

Google Translator
Microsoft Translator

Como citar

RIS

BIBTEX

Outros formatos de citação e exportação:

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
E-mail: scielo@scielo.org

Leia a Declaração de Acesso Aberto

Métricas

Comparative Study with and without the Use of 3D Prototyping of an Unconventional Technique in the Surgical Planning of Revision of Total Hip Arthroplasty

PlumX

Mensagem

[1] Address for correspondence Rafael de Luca de Lucena, MD, Serviço de Ortopedia e Traumatologia, Santa Casa de Misericórdia de Porto Alegre, rua Professor Annes Dias, 135, 2o andar – Centro Histórico, Porto Alegre, RS, 90460-150, Brazil (e-mail: rfdldl@gmail.com).