Modular acetabular reconstruction

One implant,
every defect.

OrthoClay is a 3D-printed shape-morphing titanium implant for complex revision hip surgery: flexible during implantation, rigid after fixation. One ready implant, adapted to the patient's anatomy in the operating room.

Spun out of TU Delft · North Brabant, NL
The problem

Imaging shows one defect. Surgery finds another.

Pre-operative CT shows the defect the surgeon prepares to reconstruct. In theatre, once the failed implant is removed, bone loss often enlarges or changes shape, and the final defect emerges larger, deeper, or more irregular than the scan predicted.

Every acetabular revision is geometrically unique. The reconstruction has to fit the bone the surgeon finds, with reliable fixation into whatever viable host bone remains.

Schematic: the defect planned from CT, against the cavity found once the failed implant is out.
Clinical realities
  • 01Pre-op imaging shows the planned defect, not the final one
  • 02Removing a failed implant can expand or alter the bone loss
  • 03The final cavity is often larger, deeper, or more irregular
  • 04Remaining host bone must be preserved for durable fixation
  • 05Reconstruction has to fit what the surgeon finds, not what was planned
Three views of the OrthoClay implant fixed to the pelvis with locking screws
The solution

A new standard for adaptability.

The OrthoClay implant is a 3D-printed shape-morphing titanium structure, inspired by the concept of metallic clay. It is flexible enough to be conformed by hand to the patient's anatomy during implantation, and locks rigid once fixed with screws and bone cement.

  • Patient-specific without per-patient manufacturing
  • Conforms intra-operatively to the bone
  • Porous lattice for long-term ingrowth
  • Off-the-shelf, sterile, ready to use
How it works

From defect to fixation in three steps.

Schematic: the implant is trimmed, formed by hand to the remaining host bone, anchored with screws, then locked with cement.
STEP 01
Identify

Surgeon assesses the acetabular defect using pre-operative imaging and selects the appropriate implant size from the sterile range.

STEP 02
Morph & fixate

The implant is positioned and shaped by hand to the patient's bone, then anchored with locking screws for primary fixation.

STEP 03
Cement

Bone cement penetrates the porous lattice and cures, locking the implant into a rigid, load-bearing structure.

Key benefits

Designed around the surgeon, the patient, and the defect.

01

Patient-specific

Adapts to the anatomy the surgeon finds, intra-operatively.

02

Available on demand

Off-the-shelf and sterile. Ready in theatre.

03

Preserves bone stock

Conforms to existing bone instead of forcing further resection.

04

Straightforward workflow

Familiar steps: shape, screw, cement. No per-case planning cycle.

05

Supports ingrowth

Porous titanium lattice supports long-term osseointegration.

06

Surgeon-friendly

Freedom in screw placement; minimal intra-operative adjustment.

Clinical impact

Preparing for clinical evaluation.

OrthoClay is being advanced toward clinical evaluation in collaboration with leading orthopedic centres. The implant is intended for acetabular reconstruction in revision total hip arthroplasty, particularly the most severe defects, where today's options demand either custom manufacturing or compromise.

For surgeons
  • →Freedom in screw placement
  • →Minimal intra-operative adjustments
  • →Decisions in theatre, not weeks of planning
For patients
  • →Adapts to severe acetabular bone loss (Paprosky IIIA to IIIB)
  • →Bone graft can be integrated within the lattice
  • →Preserves remaining bone stock
Team

Science, surgery, and engineering.

OrthoClay brings together biomechanical research, additive manufacturing, and three decades of operating-room experience. Advisors sit at the top orthopedic and biomechanics groups in the Netherlands.

Scientific & clinical advisors
Contact

Talk to us.

Surgeon, investor, or potential clinical partner, we'd like to hear from you.

North Brabant
The Netherlands