Fit the patient to the prosthesis: an argument against the routine use of custom hip implants

There are selected circumstances in which customizing an implant is a solution to a unique problem. However, there are significant reservations as to the need for the routine use of custom hip implants. In fact, it is possible for a customized implant not to function clinically up to the standards that have already been established by the modern, currently available, off-the-shelf implants.