Graft–Prosthetic Reconstruction & Advanced Surgical Planning

Composite reconstruction merges biologic graft remodelling with durable prosthetic function, achieving 80–90% 5-year survival in limb salvage. Cancer-affected bone can also be recycled using radiation or liquid nitrogen and reused as a tumour-free graft when the bone's structural integrity is preserved.

• 3D-printed bone models from your CT/MRI let the team rehearse osteotomies and select optimal implant size preoperatively.
• Patient-specific instrumentation (PSI) guides match your anatomy exactly — accurate bone cuts and implant positioning to 1–2 mm.

Evidence: PSI reduces operative time by 30% and improves margin accuracy in bone tumour resections.

• Titanium alloys (Ti6Al4V): biocompatible, high strength-to-weight, porous surfaces for bone in-growth.
• Cobalt–chromium alloys: high wear resistance for joint articulations.
• PEEK: radiolucent spacers in load-sharing constructs.
• Porous tantalum coatings and hydroxyapatite enhance biologic fixation.

Augmented reality overlays your CT data on the surgical field, guiding resection planes and implant orientation in real time. Navigation systems track instruments and implants with infrared markers, achieving < 2 mm accuracy in 90% of cases. Clinical studies show AR and navigation reduce cutting errors by ~50% and improve implant alignment, reducing revision rates.

Priya required limb salvage for a proximal tibia sarcoma. Her care included CT/MRI planning with a 3D-printed tibia model for virtual resection rehearsal, custom PSI cutting blocks, a composite reconstruction (massive allograft for the diaphysis with a modular prosthetic knee), and AR navigation for real-time alignment. She resumed work in six months with 0–110° knee motion and no pain at two-year follow-up.

Watch a real patient who underwent graft–prosthetic reconstruction for a bone tumour, with follow-up showing confident walking and durable function years after surgery.

• Infection 5–15% — debridement with implant retention or exchange.
• Nonunion at graft–host junction 10–20% — enhanced by rigid fixation and biological augmentation.
• Mechanical failure ~10% at 5 years — prosthetic loosening or allograft fracture.
• Rare AR/navigation technical failures — managed with backup conventional techniques.

Composite graft–prosthetic reconstruction with PSI, 3D printing, navigation and AR has markedly improved accuracy, reduced operative time and enhanced functional outcomes. Personalised implants and real-time guidance enable precise tumour resections and durable reconstructions — translating directly into better quality of life.