Ahmedabad, 06 March 2026:In a rare and highly complex orthopedic achievement, Marengo CIMS Hospital has successfully performed a two-stage revision hip reconstruction using a customized 3D-printed pelvic cage on Ms. Basirath, an international patient who travelled to India for 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 complete inability to walk. As her condition worsened, she consulted Dr Pranav Shah, Director of Orthopedic Trauma and Hip Replacement, and subsequently decided to seek treatment in India.
Upon detailed evaluation, the medical team identified 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 – posing a potentially life-threatening risk. Considering the complexity and high surgical risk, a carefully planned two-stage surgical approach was undertaken.
In the first stage, the migrated implant was removed through an abdominal approach to ensure safe access and protection of critical blood vessels. This strategic approach minimized vascular risk and restored anatomical safety.
In the second stage, surgeons reconstructed the significant pelvic bone defect created by the previous surgery using a customized 3D-printed cage construct. 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 marks the first time a customized 3D-printed cage construct has been utilized at Marengo CIMS Hospital, representing a significant advancement in the management of complex revision hip surgeries, with limited such cases performed nationwide.
Following the surgery, Ms. Basirath began assisted walking within three to four days. The porous architecture of the 3D-printed cage is expected to allow gradual bone ingrowth over time, enhancing long-term stability and enabling progressive weight-bearing and independent ambulation.
Dr Pranav Shah, Director of Orthopedic Trauma and Hip Replacement, said, “This was an extremely challenging and high-risk case because the implant had migrated into the pelvis and was compressing major blood vessels. A staged surgical plan allowed us to first safely remove the implant and then reconstruct the defect using customized 3D-printing technology. Such advanced solutions are redefining outcomes in complex revision hip surgery.”
Dr Keyur Parikh, Chairman and Senior Interventional Cardiologist at Marengo CIMS Hospital, added, “At Marengo CIMS, our commitment is to combine expertise, advanced infrastructure, and cutting-edge technology to manage even the most complicated medical challenges. This successful surgery reflects our multidisciplinary strength and dedication to delivering world-class care.”
