**4.6 Custom-made prostheses**

Custom-made prostheses represent an excellent biomechanical solution; nevertheless they show some disadvantages:


Custom-made implants are currently being indicated for treatment of complex bone loss and for peripheral defects exceeding 15 mm in depth (Fig. 9). Use of custom implants have been reduced with the advent of modular prosthesis.

Fig. 10. (a) Severe bone defect caused by septic mobilisation and treated with two-staged revision. (b) Reconstruction was made with custom-made hinged prosthesis.
