Revolutionizing Hip Dysplasia Treatment in Dogs

3D HIP

Titanium Implants

Patient-specific 3D-printed shelf implants 
designed for minimally invasive hip stabilization in young dogs with hip dysplasia.

Patient-Specific 3D-Printed Hip Implant for Dogs & Cats

A Minimally Invasive Approach to Hip Dysplasia

The 3D HIP Implant is a custom-made, 3D-printed titanium implant designed to restore hip stability in dogs & cats with hip dysplasia. This minimally invasive surgical technique extends the dorsal acetabular rim, increasing femoral head coverage and preventing subluxation.

Key Benefits:

  • No pelvic bone cuts required: Eliminates the need for pelvic osteotomy procedures
  • Bilateral treatment option: Both hips can be treated in a single
    surgical session.
  • Preserves future treatment options: Does not preclude future procedures,
    including THR.

Image 1

The 3D HIP

ADVANTAGE

Hip dysplasia is a common orthopedic condition in dogs, leading to joint instability, pain, and progressive osteoarthritis. Traditional treatments include palliative care (pain management, weight control, and lifestyle modifications) or invasive surgical procedures such as pelvic osteotomies (DPO/TPO) and total hip arthroplasty (THR). These approaches can be complex, traumatic, and not always suitable for every patient.

The 3D HIP Implant offers an innovative, minimally invasive, and patient-specific alternative. This 3D-printed titanium implant is designed to extend the dorsal acetabular rim, increasing femoral head coverage and preventing joint subluxation. Its personalized design ensures a precise anatomical fit, restoring hip stability while allowing for faster recovery and improved mobility.

Minimally Invasive Surgical Approach

  • 3D HIP eliminates the need for pelvic bone cuts
  • Less traumatic surgical approach
  • Preserves surrounding musculature through reduced muscle
    dissection, with no trochanteric osteotomy required

Patient-Specific Implant Design

  • Each implant is custom 3D-printed from the patient’s pre-op CT scan, ensuring a precise anatomical fit
  • No implant limitations – patient-specific printing eliminates the size constraints of standard plate systems, enabling treatment for all dog and cat breeds
  • Does not limit future hip surgeries, including THR

Bilateral Application

Both hip joints can be treated simultaneously, minimizing the number of surgeries and anesthesia risk

Minor Postoperative Discomfort

  • Absence of osteotomy minimizes surgical trauma
  • Faster recovery time and return to function

Titanium for superior biocompatibility

Made of Titanium which has the advantage of superior biocompatibility, it promotes faster bone healing and limits uncontrolled bone proliferation.

Rapid learning curve

Pre-planned in 3D, and therefore not entirely dependent on the intraoperative experience of orthopedic surgeons, the 3D HIP Technique requires only a short learning curve due to its simplicity and its technologically-driven approach.

Image 2: (A) rendering of a canine pelvis
with hip dysplasia. (B) Rendering of a 3D designed
acetabular rim extension implant. (C)
Detailed picture of the implant design. The base is
designed around the rectus femoris muscle
attachment(*). Also it is visible that there is 2mm
space between the implant and femoral head
(yellow arrow) to prevent impingement of the hip
capsule and act as weight bearing surface

See How 3D HIP Is Transforming

Hip Dysplasia Treatment

Developed in partnership with Utrecht University, the 3D HIP Implant represents an innovative approach to the treatment of canine hip dysplasia. Watch how patient-specific planning and implant design help improve hip stability, preserve joint function, and support long-term mobility in young dogs.

The 3D HIP Implant

Surgical Technique

The 3D HIP procedure is designed to provide a more targeted and less invasive approach to hip dysplasia treatment. The implant is placed extraarticularly, outside the joint capsule, reinforcing the hip joint without altering bone structure through osteotomies.

Key surgical steps include:

  • Preoperative Planning: CT-based implant design to ensure precise customization
  • Modified Surgical Approach: Direct access to the dorsal acetabular rim and iliac body for optimal implant placement
  • Implant Fixation: Secure attachment with locking screws to the ilium
  • Intraoperative Fluoroscopy: Ensures correct alignment with the acetabular rim
  • Postoperative Recovery: Dogs typically regain weight-bearing ability within 12-24 hours after surgery

How to order

A Simple, Step-by-Step Ordering Process

  • STEP 1
  • STEP 2
  • STEP 3
  • STEP 4

Mandatory Training Requirement

Completion of a certified 3D HIP Course is required prior to ordering a 3D HIP Implant. This training ensures correct surgical technique and appropriate patient selection.

The 3D HIP Implant

Clinical Results & Effectiveness

Short-term studies on client-owned dogs treated with the 3D HIP Implant demonstrated:

  • Significant improvement in hip joint stability and increased femoral head coverage
  • 96.7% of treated hips showed no post-surgical subluxation
  • Minimal complications (4.9%), with a smooth postoperative recovery
  • Faster weight-bearing and reduced pain-related activity compared to other surgical options

The procedure has been successfully performed bilaterally in a single session, reducing recovery time and surgical risk compared to staged interventions.

  • Studies

  • Testimonials

  • Success Stories

Patient-specific 3D-printed shelf implant for the treatment of hip dysplasia: Anatomical and biomechanical outcomes in a canine model

Koen Willemsen, Marianna Tryfonido, Ralph Sakkers, René M Castelein, Amir A Zadpoor, Peter Seevinck, Harrie Weinans, Björn Meij, Bart C H van der Wal   |  July 2021

This study evaluated a novel patient-specific 3D-printed shelf implant designed to restore normal acetabular anatomy in a canine model of hip dysplasia. The implant significantly improved hip coverage and biomechanical stability in dysplastic hips ex vivo, suggesting it is a promising concept for improving joint stability, though further in vivo safety research is needed.

Surgical Technique of the 3-Dimensional-printed Personalized Hip Implant for the Treatment of Canine Hip Dysplasia

Irin Kwananocha, Femke Verseijden, Seyed A. Kamali, Joëll Magré, Koen Willemsen, Jacobine C.M. Schouten, Daniela Salvatori, Marianna A.Tryfonidou, Björn P. Meij  April 2024

This article describes a novel surgical technique for implanting a patient-specific, 3D-printed titanium hip implant designed to restore joint stability in dogs with hip dysplasia. The technique includes CT-based planning and a modified surgical approach to extend the dorsal acetabular rim, offering a minimally invasive alternative to traditional procedures and improving femoral head coverage and hip stability.

Outcome One Year after Acetabular Rim Extension Using a Customized Titanium Implant for Treating Hip Dysplasia in Dogs

Irin Kwananocha, Joëll Magré, Amir Kamali, Femke Verseijden, Koen Willemsen, Yuntao Ji, Bart C.H. van der Wal, Ralph J.B. Sakkers, Marianna A.Tryfonidou, Björn P. Meij  July 2024

This study reports that a novel patient-specific 3D-printed titanium implant (ACE-X) for canine hip dysplasia improved femoral head coverage and reduced pain over a 12-month period with low complication rates, indicating promising long-term outcomes.

Evaluation of a Modified 3D-Printed Acetabular Rim Extension Implant for Treating Canine Hip Dysplasia

Irin Kwananocha, Joëll Magré, Femke Verseijden, Marianna A.Tryfonidou, Björn P. Meij 

This study demonstrates that patient-specific 3D-printed 3DHIP implants effectively improve hip stability, reduce laxity, and lead to significant pain reduction in dogs with hip dysplasia. In addition to clinical benefits and shorter production times, the results highlight the strong potential of customized implants, while ongoing refinements aim to further enhance long-term durability.

Image 1

3D HIP IS BORN
A brief summary of how 3D HIP came to be

The gold standard surgical treatment options for hip dysplasia are the Triple Pelvic Osteotomy (TPO) and Double Pelvic Osteotomy (DPO). TPO and DPO are invasive surgeries with an extensive learning curve.

Another procedure, which is one of the oldest and most straightforward treatments for hip dysplasia, is shelf arthroplasty using bone grafts. While this procedure shows promising results, there are still some limitations to the technique, such as deficient coverage on the anterior and posterior quadrants of even the well-placed shelfs. Other than that, the success of this method relies heavily on precise bone graft positioning and fit.

Later, shelf arthroplasty was performed using Biocompatible Osteoconductive Polymer (BOP). As the procedure is not pre-planned in 3D, its success is entirely dependent on the intraoperative experience of the surgeon. Although initial clinical results were promising, one study in normal dogs showed that ossification around the BOP fibers was slow and unsatisfactory to recommend its use for the treatment of hip dysplasia

The current advances in 3D-printing technologies made 3D HIP possible. 3D HIP is a personalized 3D-printed shelf implant that enables a seamless fit and good coverage on all load-bearing quadrants. Paired with the advantages of titanium such as superior biocompatibility, this first of its kind pre-planned and dog-specific 3D-printed titanium implant offers a safer and more feasible solution.

Transforming Canine

Hip Dysplasia Treatment

The 3D HIP Implant represents a significant advancement in veterinary orthopedics, providing a tailored, minimally invasive solution for young dogs with hip dysplasia. By addressing hip instability early, this procedure helps improve mobility, reduce pain, and enhance long-term joint health.

Questions?
Contact us

Do you have questions about 3D HIP, or would you simply like to get in touch with us to talk more about this product?


Call us at +49 7463 99 291 3 or send us an email at info@leibinger-medical.com. Better yet, fill out the form at the right and send it to us.

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