This patient suffered a carotid infarction resulting in left-sided hemiparesis, with limited neurological recovery in the early post-operative phase. A cranioplasty was indicated not only to restore cranial integrity but also to support further neurological improvement and rehabilitation.

In collaboration with Dr Paul Pakos of the University Hospital Würzburg.

A patient-specific titanium inlay approach

The surgical plan involved a patient-specific titanium inlay implant with supporting lips, designed to achieve a stable and anatomically precise reconstruction. The digital implant design review process was clear, efficient, and sufficient for this case, making additional conferences unnecessary.

Intra-operatively, the implant fit, positioning, and fixation were excellent. The precision of the design allowed for a smooth workflow and significantly shortened the operative time. The predictability provided by the digital planning translated directly into surgical efficiency.

Strong functional and clinical outcome

Post-operative results were very good, both functionally and clinically. The cranioplasty restored cranial contour accurately and supported the patient’s ongoing recovery process. The overall handling of the implant and the quality of the material met high expectations.

“The ability to review the design online, combined with fast production and close collaboration with the Xilloc engineers, resulted in an efficient process and a strong clinical outcome. This approach clearly adds value in cases where timing, precision, and predictability are critical”, said Dr Paul Pakos.