Total hip revision with custom-made spacer and prosthesis: A case report

Figure 1 X-ray film, anteroposterior plane. The left artificial hip had a severe proximal femoral defect.

Figure 2 Radiographs of the pelvic taken 20 mo after the second-stage surgery. A: Pelvic plane; B: Anteroposterior plane; C: Lateral plane.

Figure 3 Design process of the customized spacer molds. A: Reconstruction image of the prosthesis and left hip; B: The blueprint of the spacer according to the reconstruction image; C: The blueprint of the customized spacer molds; D: The blueprint of the assembled spacer molds.

Figure 4 Molding process of the custom-made spacer cement. A: The molds and the binding bundle of Kirschner wires (orange arrow); B: Spacer cement and the pressure rods (white arrow).

Figure 5 Radiographs of the pelvic taken the day after the first-stage revision (anteroposterior plane) (A) and the left hip taken 6 mo after the first-stage revision (B). The spacer stem was bent (anteroposterior plane).

Figure 6 The custom-made prosthesis with porous design, and full lower limb radiographs taken the day after the second-stage revision. A: The custom-made prosthesis with porous design; B: Anteroposterior plane; C: Lateral plane.