Mr Paul Culpan is a Consultant Orthopaedic Surgeon at The Royal London Hospital. Paul is renowned for his work at this leading internationally renowned Trauma Centre, and for his pre- eminent contribution to both pelvic and acetabular reconstructive surgery. Also within his professional remit is complex hip arthroplasty. Paul describes his 5- year experience of the Symbios system, presented to over 60 fellow consultants at the 2017 HipPLAN User Group Meeting held at the Tower Bridge Hilton Hotel in January.

“The most important feature of today is the (HipPLAN® 3D) planning”

“Custom Implants offer a fantastic option”

Paul describes his patients post- operatively as having ‘different’ activity levels following surgery with the Symbios system. He describes his results as “phenomenal” and he believes this is due to the soft tissue balancing, recognising and adapting to anatomical variations between patients. It is clear that hip abductors function optimally when the native anatomy is restored, offset being a particularly important parameter, but avoiding over lateralisation which is not well tolerated by patients. Paul describes how even the very perfect 2D radiograph has limitations, the inability to quantify external rotation of the femoral head for example, which is a nett contributor to the arthritic process. And not for the first time in his summing up, Paul cites that one of the key advantages of the 3D planning process is the ability for the surgeon to be taken through a ‘virtual surgery’ prior to the actual operation, where many of the potential pitfalls can be addressed beforehand.

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