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However, tourniquet was used in all patients in our study. The pre-operative level of Hemoglobin was an important factor to contribute to the requirement of blood transfusion after SBTKA. We recommend blood transfusion if the post-operative Hemoglobin level is less than 8.0 gm./dl. © 2020 Delhi Orthopedic Association. All rights reserved.Complex acetabular reconstruction sometimes requires the use of a custom-made triflange acetabular component (CTAC). In this article we describe the surgical technique to achieve its impla