3D Printed Total Talar Replacement: A Promising Treatment Option for Advanced Arthritis, Avascular Osteonecrosis, and Osteomyelitis of the Ankle.

Clin Podiatr Med Surg

Department of Graduate Medical Education and Podiatric Surgery, Our Lady of Lourdes Memorial Hospital, 169 Riverside Drive, Binghamton, NY 13905, USA.

Published: October 2018

AI Article Synopsis

  • Advanced ankle conditions like arthritis, avascular necrosis, and osteomyelitis pose significant surgical challenges with few treatment options.
  • Multiple health issues often lead to complete loss of the talus, necessitating surgical procedures like total talar replacement due to complications from surgeries or infections.
  • Total ankle replacement is a promising treatment for end-stage ankle arthritis when performed on suitable patients, as alternative procedures can result in considerable disability.

Article Abstract

Advanced ankle arthritis, avascular osteonecrosis, and osteomyelitis of the ankle remain a surgical challenge in the foot and ankle arena with limited treatment options. Multiple medical comorbidities contribute to total loss of the talus. Collapse of the talar body as a complication of total ankle arthroplasty, talectomy in infection, and septic talus necrosis or severe bone defects caused by tumor resection may result in need for total talar replacement. Ankle arthrodesis and tibiocalcaneal fusion after talectomy can produce severe disability of the ankle and foot. Total ankle replacement is a viable option for treatment of end-stage ankle arthritis in appropriate patient populations.

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Source
http://dx.doi.org/10.1016/j.cpm.2018.06.002DOI Listing

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