Designing and additive manufacturing of talus implant for post-traumatic talus avascular necrosis: a case study.
Additive manufacturing
Customized implant
Simulation
Talus implant
Journal
Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112
Informations de publication
Date de publication:
22 Aug 2024
22 Aug 2024
Historique:
received:
22
03
2024
accepted:
23
07
2024
medline:
23
8
2024
pubmed:
23
8
2024
entrez:
22
8
2024
Statut:
epublish
Résumé
New technologies in additive manufacturing and patient-specific CT-based custom implant designs make it possible for previously unimaginable salvage and limb-sparing operations a practical reality. This study presents the design and fabrication of a lattice-structured implant for talus replacement surgery. Our primary case involved a young adult patient who had sustained severe damage to the talus, resulting in avascular necrosis and subsequent bone collapse. This condition caused persistent and debilitating pain, leading the medical team to consider amputation of the left foot at the ankle level as a last resort. Instead, we proposed a Ti6Al4V-based patient-specific implant with lattice structure specifically designed for pan-talar fusion. Finite element simulation is conducted to estimate its performance. To ensure its mechanical integrity, uniaxial compression experiments were conducted. The implant was produced using selective laser melting technology, which allowed for precise and accurate construction of the unique lattice structure. The patient underwent regular monitoring for a period of 24 months. At 2-years follow-up the patient successfully returned to activities without complication. The patient's functional status was improved, limb shortening was minimized.
Identifiants
pubmed: 39175072
doi: 10.1186/s13018-024-04948-w
pii: 10.1186/s13018-024-04948-w
doi:
Substances chimiques
Alloys
0
Titanium
D1JT611TNE
titanium alloy (TiAl6V4)
12743-70-3
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
501Subventions
Organisme : Higher Education and Science Committee, Ministry of Education, Science, Culture and Sport RA
ID : 22IRF-05
Organisme : Higher Education and Science Committee, Ministry of Education, Science, Culture and Sport RA
ID : 22AA-2F022
Organisme : Higher Education and Science Committee, Ministry of Education, Science, Culture and Sport RA
ID : 22IRF-05
Informations de copyright
© 2024. The Author(s).
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