Custom hip replacement: What are the advantages?

Written in association with: Mr Khalid Malik
Published: | Updated: 05/06/2024
Edited by: Conor Dunworth

In recent years, advancements in medical technology have revolutionised the field of orthopaedic surgery, particularly in the realm of hip replacements. One of the latest innovations in this domain is custom hip replacement surgery, offering tailored solutions for individuals suffering from debilitating hip conditions. In this article, leading consultant trauma and orthopaedic surgeon Mr Khalid Malik delve into what custom hip replacement entails, its advantages, and who might benefit from this procedure.

What is custom hip replacement?

Custom hip replacement, also known as personalised or patient-specific hip replacement, involves the use of advanced imaging techniques and computer-assisted design (CAD) to create a prosthetic hip joint that precisely matches the patient's unique anatomy. Traditional hip replacement procedures typically involve selecting a standard-sized implant from a range of pre-manufactured options. However, with custom hip replacement, each implant is meticulously designed to fit the patient's specific bone structure and joint anatomy.

 

How is a custom prosthesis made?

The process begins with detailed imaging studies, such as a CT scan, which provides three-dimensional images of the hip joint as well as the entire lower limb anatomy. 

These images are then used to create a digital model of the patient's hip, allowing surgeons to accurately plan the procedure and design a customised implant. Advanced software algorithms analyse the data to optimie the fit and alignment of the implant, ensuring optimal function and longevity.

 

Advantages of custom hip replacement

 

Precise fit

One of the primary advantages of custom hip replacement is the ability to achieve a precise fit. By tailoring the implant to match the patient's anatomy, surgeons can minimise issues such as dislocation and hip discrepancy. The detailed preoperative scans also allow for meticulous preoperative planning. 

 

Enhanced stability

Custom implants are designed to replicate the natural contours of the hip joint, resulting in enhanced stability and reduced risk of dislocation. This can be particularly beneficial for active individuals or those with complex hip anatomy.

 

Who is the ideal candidate for custom ip replacement?

Custom hip replacement may be suitable for individuals who have:

  • Complex hip anatomy or bone deformities
  • Previous hip surgeries
  • Very tall or very short individuals, where an “off the shelf” implant is not suitable 
  • Relatively younger patients with high functional demand

 

It is important for patients to undergo a thorough evaluation and consultation with an orthopaedic surgeon to determine if custom hip replacement is the most appropriate treatment option for their specific needs.

 

 

Mr Khalid Malik is a renowned consultant trauma and orthopaedic surgeon based in East Sussex and Surrey. If you would like to book a consultation with Mr Malik, you can do so today via his Top Doctors profile.

By Mr Khalid Malik
Orthopaedic surgery

Mr Khalid Malik is a trauma & orthopaedic consultant surgeon based in East Sussex and Surrey. With extensive experience in a wide range of orthopaedic procedures, Mr. Malik's expertise includes total hip replacement, total, knee replacements, unicompartmental knee replacement, knee arthroscopy, revision hip and revision knee replacement. He also employs advanced technologies such as robotics and customised implants to provide individualised hip and knee replacements. Mr Malik prioritises patient education and involvement, ensuring they understand their medical conditions and are actively engaged in the decision-making process. Clear communication, empathy, and collaboration are central to his patient interactions

Mr Malik currently practises privately at Sussex Premier Health Hastings, the Nuffield Health Brighton Hospital, Nuffield Health Woking Hospital and the Nuffield Health Guildford Hospital.
 
Mr Malik completed his medical degree from Imperial College London, consistently ranked among the top 10 medical schools globally. After completing his specialist orthopaedic training in Kent, Surrey, and Sussex, he was appointed as the "Thackray Fellow" at the internationally renowned Wrightington Hospital. There, he further refined his expertise in hip and knee surgery, establishing himself as a specialist in the field. During his training, he also completed a Master’s degree in Orthopaedic Trauma Sciences with Distinction from Queen Mary University, London. Mr Malik was awarded the British Hip Society Travelling Fellowship and the Sir John Charnley Travelling Fellowship Award, enabling him to gain further expertise at the esteemed orthopaedic unit of the University of British Columbia, Vancouver.
 
Passionate about training the next generation of surgeons, Mr. Malik founded the national orthopaedic teaching collaborative “CollabORTHO,” through which he has educated hundreds of medical students nationwide. He is a Member of the Faculty of Surgical Trainers (MFSTEd) of The Royal College of Surgeons of Edinburgh and an invited faculty member at multiple courses run by the Royal College of Surgeons of England. He also serves as an undergraduate examiner at Queen Mary University, London. His dedication to surgical training has earned him the “Trainer of the Year” accolade twice (2013 – Barts Health, 2017 – East Kent Hospitals) and a nomination for the prestigious ASiT “Silver Suture” award in 2023.

Mr Malik has authored over 20 publications in peer-reviewed journals and has presented his work at national and international conferences. His research projects received the EFORT Jacques Duparc Award and the British Hip Society President’s Prize in 2022. He continues to serve as a reviewer for several journals including “Injury” and “Journal of Joint and Arthroscopic Surgery”. The full list of his academic work can be found here.
 
Mr Malik is fellow of the Royal College of Surgeons of England, and a member of prestigious organisations such as of the British Orthopaedic Association and the British Hip Society. He is fluent in English, Punjabi, and Urdu, ensuring effective communication with a diverse patient population.

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