Our center specializes in the most advanced patient-specific technologies for complex orthopaedic oncology reconstruction. We combine cutting-edge imaging, 3D printing, computer-assisted planning, and custom manufacturing to create tailored solutions for each patient's unique anatomical challenges.
Patient-Specific Instrumentation (PSI)
We provide expert surgical guidance using custom-designed instruments:
- Custom Cutting Guides: 3D-printed guides that fit perfectly on patient bone to ensure precise osteotomy execution according to preoperative plans.
- Drilling and Positioning Guides: Patient-specific templates for accurate screw placement, component positioning, and alignment restoration.
- Tumor Margin Guides: Specialized instruments that help surgeons achieve planned resection margins with millimeter accuracy.
- Joint Alignment Guides: Custom instruments for restoring mechanical axis and joint orientation in complex reconstructions.
- Soft Tissue Guides: Instruments designed to aid in the reattachment of tendons, ligaments, and muscles at their anatomical insertion sites.
Custom-Made Implants
Our comprehensive approach to custom implant manufacturing includes:
- Anatomical Joint Replacements: Fully custom-designed joint prostheses that match the patient's unique anatomy for optimal fit and function.
- Segmental Bone Replacements: Patient-specific implants to replace large segments of bone resected due to tumor involvement.
- 3D-Porous Titanium Implants: Advanced additive manufacturing creating implants with controlled porosity for enhanced bone integration.
- Pelvic and Acetabular Implants: Complex custom solutions for hemipelvic reconstructions with precise anatomical matching.
- Composite Implants: Combinations of traditional materials with 3D-printed components for complex reconstruction needs.
Our Digital Workflow Process
We employ a comprehensive digital workflow for creating patient-specific solutions:
- High-Resolution Imaging: Advanced CT and MRI scans with 3D reconstruction for precise anatomical modeling.
- Virtual Surgical Planning: Computer-assisted preoperative planning with simulated osteotomies, implant placement, and functional assessment.
- 3D Modeling and Design: Engineering-grade software for designing custom implants and instruments tailored to patient anatomy.
- Additive Manufacturing: State-of-the-art 3D printing in medical-grade titanium, cobalt-chrome, and PEEK materials.
- Quality Assurance: Rigorous testing and validation processes including fit trials using 3D-printed anatomical models.
Clinical Applications and Benefits
Our patient-specific approach provides significant advantages for complex cases:
- Enhanced surgical precision and accuracy in tumor resection
- Reduced operative time and improved efficiency
- Better implant fit and alignment leading to improved functional outcomes
- Preservation of native anatomy and bone stock
- Improved soft tissue balancing and attachment sites
- Faster recovery and rehabilitation potential
- Reduced complication rates and improved long-term outcomes
Indications for Custom Solutions
We utilize patient-specific technologies for challenging clinical scenarios including:
- Complex joint preservation cases with unusual anatomy
- Massive bone defects following tumor resection
- Revision surgery with significant bone loss
- Pelvic and sacral tumors requiring complex reconstruction
- Growing children requiring expandable or convertible implants
- Cases with unusual anatomy due to congenital conditions or previous surgery
We understand that each patient's anatomical situation is unique, especially in orthopaedic oncology. Our team is committed to leveraging the most advanced technologies to create customized solutions that address the specific challenges of tumor surgery, providing patients with the best possible functional outcomes and quality of life through precision medicine approaches.
