Advanced 3D-Printing Is Redefining Outcomes in Complex Hip Surgeries: Dr Pranav Shah
I Can Walk Again Without Pain: Nigerian Patient Ms Basirat Olabisi Afolabi, after Life-Changing Surgery in Ahmedabad
Two-Stage Surgery with Customized 3D-Printed Cage Saves High-Risk Hip Revision Case
- Bilkul Online
- Ahmedabad | 07 March 2026
Marengo CIMS Hospital has successfully performed a rare and highly complex two-stage revision hip reconstruction using a customized 3D-printed pelvic cage for a Nigerian patient who travelled to India seeking advanced corrective treatment.
Ms. Basirath had undergone a complex revision hip replacement surgery in Africa four months ago. Following the procedure, the acetabular socket migrated into the pelvic cavity, causing severe pain and leaving her completely unable to walk. As her condition worsened, she consulted Dr Pranav Shah, Director of Orthopedic Trauma and Hip Replacement at Marengo CIMS Hospital, and decided to travel to India for treatment.
A Life-Threatening Complication
On detailed evaluation, doctors found that the displaced socket had shifted deep into the pelvis and was compressing major vascular structures, including a principal artery and the external iliac vein, creating a potentially life-threatening situation.
“This was an extremely challenging and high-risk case because the implant had migrated into the pelvis and was compressing major blood vessels,” said Dr Pranav Shah. “Such cases require careful planning and a staged surgical strategy to ensure patient safety.”
Two-Stage Surgical Approach
Given the complexity of the case, the surgical team adopted a carefully planned two-stage approach. In the first stage, the migrated implant was removed through an abdominal approach, which allowed surgeons to safely access the pelvic cavity while protecting the surrounding blood vessels and other vital structures. This step ensured that the dangerous implant displacement was addressed without causing vascular injury.
Reconstruction with 3D-Printed Technology
In the second stage, surgeons reconstructed the significant pelvic bone defect created by the previous surgery using a customized 3D-printed pelvic cage. The advanced implant was designed to bridge areas where natural bone support was absent. A cemented hip replacement was then performed over the cage to restore joint stability and mobility.
“This staged surgical plan allowed us to first safely remove the implant and then reconstruct the defect using customized 3D-printing technology,” Dr Shah explained. “Advanced solutions like these are redefining outcomes in complex revision hip surgeries.”
The procedure also marks the first time a customized 3D-printed cage construct has been used at Marengo CIMS Hospital, representing an important advancement in the management of complex revision hip surgeries. Only a limited number of such cases have been performed across the country.
Early Recovery and Mobility
Following the surgery, Ms. Basirath Olabisi Afolabi began assisted walking within three to four days. The porous architecture of the 3D-printed cage is designed to allow gradual bone ingrowth over time, which will enhance long-term stability and support progressive weight-bearing and independent mobility.
Commitment to Advanced Care
“At Marengo CIMS, our commitment is to combine expertise, advanced infrastructure and cutting-edge technology to manage even the most complicated medical challenges,” said Dr Keyur Parikh, Chairman and Senior Interventional Cardiologist at Marengo CIMS Hospital. “This successful surgery reflects our multidisciplinary strength and dedication to delivering world-class care.”
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