Customized 3D-printed component-preserving reconstruction for femoral neck fracture revision in a long-term survivor of pediatric osteosarcoma: a case report - Takeaways - MDSpire

Customized 3D-printed component-preserving reconstruction for femoral neck fracture revision in a long-term survivor of pediatric osteosarcoma: a case report

  • By

  • Zhiming Yu

  • Qi Sun

  • Xinyu Nan

  • Run Liu

  • Liuxin Yan

  • Hui Wang

  • Yang Lu

  • Yaheng Zhao

  • Gaocen Li

  • Lufeng Lin

  • Huiyang Jia

  • Changcheng Liu

  • May 26, 2026

  • 0 min

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  • 1

    A 28-year-old man with a history of osteosarcoma experienced a displaced femoral neck fracture after a fall, complicating his previous knee tumor prosthesis.

  • 2

    The reconstruction utilized a customized monoblock stem with a socket-type prosthesis-to-prosthesis coupling to preserve the stable distal component.

  • 3

    Postoperative imaging confirmed satisfactory alignment, and limb-length discrepancy improved from 20 cm to 15 cm after the surgery.

  • 4

    The Harris Hip Score improved from 63 at 3 months to 81 at 6 months, indicating significant functional recovery.

  • 5

    This case highlights the feasibility of component-preserving reconstruction as an alternative to total femoral replacement in complex proximal femoral defects.

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