J Shanghai Jiaotong Univ Sci

Journal of Shanghai Jiaotong University(Science) >

2021 , Vol. 26 >Issue 3: 391 - 397

DOI: https://doi.org/10.1007/s12204-021-2310-8

Medical 3D Printing and Personalised Medicine

Total Talar Replacement Using a Novel 3D-Printed Prosthesis for Recurrent Giant Cell Tumour of the Talus

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  • (a. Department of Orthopaedic Surgery; b. Shanghai Key Laboratory of Orthopaedic Implants, Shanghai Ninth
    People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China)

Online published: 2021-06-02

Supported by

the Class IV Peak Discipline Project of
Shanghai Jiao Tong University School of Medicine – “3D
Snowball” Project (No. Ggxq03), the Clinical Research
Program of 9th People’s Hospital, Shanghai Jiao Tong
University School of Medicine (No. JYLJ015), the Clinical
Research Plan of SHDC (No. 16CR3099B), and the
National Key Research and Development Program of
China (No. 2016YFC1102104)

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Abstract

In our case, 3D printing was used to fabricate a custom-made titanium alloy total talar prosthesis as  a mirror image of the contralateral healthy talus for a 16-year-old girl who underwent right talar resection for a  recurrent giant cell tumour (GCT) of the talus. A porous surface was used over the neck and tail of the talus  prosthesis to promote soft tissue attachment and improve the stability of the prosthesis. Pre-drilled medial and  lateral holes were prepared for ligament repair and attachment. Eighteen months after the operation, there was  no tumour recurrence, and the patient walked without symptoms. The Musculoskeletal Tumour Society score was  22/30, the American Orthopaedic Foot and Ankle Society score was 88/100, and the prosthesis was well positioned  on radiographs. The short- and medium-term outcomes indicated that 3D-printed modular talar prostheses could  be an effective treatment option. 

Cite this article

GAN Yaokai (干耀恺), DAI Kerong (戴尅戎), LI Jianying (李健瑛), SHI Dingwei (史定伟), SHEN Lu (沈陆), JIANG Wenbo (姜闻博) . Total Talar Replacement Using a Novel 3D-Printed Prosthesis for Recurrent Giant Cell Tumour of the Talus[J]. Journal of Shanghai Jiaotong University(Science), 2021 , 26(3) : 391 -397 . DOI: 10.1007/s12204-021-2310-8

References

[1] MENDENHALL W M, ZLOTECKI R A, SCARBOROUGH M T, et al. Giant cell tumor of bone [J]. American Journal of Clinical Oncology, 2006, 29(1): 96-99.

[2] NIU X, ZHANG Q, HAO L, et al. Giant cell tumor of the extremity: Retrospective analysis of 621 Chinese patients from one institution [J]. The Journal of Bone and Joint Surgery -American Volume, 2012, 94(5): 461-467.

[3] TUNN P U, SCHLAG P M. Giant cell tumor of bone. An evaluation of 87 patients [J]. Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete, 2003, 141(6): 690- 698.

[4] BERTONI F, BACCHINI P, STAALS E L. Malignancy in giant cell tumor of bone [J]. Cancer, 2003, 97(10): 2520-2529.

[5] OLIVEIRA V C, VAN DER HEIJDEN L, VAN DER GEEST I C, et al. Giant cell tumours of the small bones of the hands and feet: Long-term results of 30 patients and a systematic literature review [J]. The Bone & Joint Journal, 2013, 95-B(6): 838-845.

[6] GOLDENBERG R R, CAMPBELL C J, BONFIGLIO M. Giant-cell tumor of bone [J]. The Journal of Bone & Joint Surgery, 1970, 52(4): 619-664.

[7] GUOW, NIU X H, XIAO J R, et al. Guideline for clinical evidence-based diagnosis and treatment of osteosarcoma [J]. Chinese Journal of Bone and Joint Surgery, 2018, 11(4): 288-301 (in Chinese).

[8] KLENKE F M, WENGER D E, INWARDS C Y, et al. Giant cell tumor of bone: Risk factors for recurrence [J]. Clinical Orthopaedics and Related Research, 2011, 469(2): 591-599.

[9] FINKLER E S,MARCHWIANY D A, SCHIFF A P, et al. Long-term outcomes following Syme’s amputation [J]. Foot & Ankle International, 2017, 38(7): 732-735.

[10] DENNISON M G, POOL R D, SIMONIS R B, et al. Tibiocalcaneal fusion for avascular necrosis of the talus [J]. The Journal of Bone and Joint Surgery -British Volume, 2001, 83(2): 199-203.

[11] SEGAL A D, SHOFER J, HAHN M E, et al. Functional limitations associated with end-stage ankle arthritis [J]. The Journal of Bone and Joint Surgery - American Volume, 2012, 94(9): 777-783.

[12] WANG Y, DAI K. Long-term results of total ankle replacement [J]. Chinese Journal of Surgery, 1995, 33(6): 359-361 (in Chinese).

[13] HARNROONGROJ T, VANADURONGWAN V. The talar body prosthesis [J]. The Journal of Bone and Joint Surgery -American Volume, 1997, 79(9): 1313- 1322.

[14] STEVENS B W, DOLAN C M, ANDERSON J G, et al. Custom talar prosthesis after open talar extrusion in a pediatric patient [J]. Foot & Ankle International, 2007, 28(8): 933-938. [15] TANIGUCHI A, TAKAKURA Y, TANAKA Y, et al. An alumina ceramic total talar prosthesis for osteonecrosis of the talus [J]. The Journal of Bone and Joint Surgery -American Volume, 2015, 97(16): 1348- 1353.

[16] TONOGAI I, HAMADA D, YAMASAKI Y, et al. Custom-made alumina ceramic total talar prosthesis for idiopathic aseptic necrosis of the talus: Report of two cases [J]. Case Reports in Orthopedics, 2017, 2017: 8290804.

[17] RUATTI S, CORBET C, BOUDISSA M, et al. Total talar prosthesis replacement after talar extrusion [J]. The Journal of Foot and Ankle Surgery, 2017, 56(4): 905-909.

[18] GADKARI K P, ANDERSON J G, BOHAY D R, et al. An eleven-year follow-up of a custom talar prosthesis after open talar extrusion in an adolescent patient: A case report [J]. JBJS Case Connector, 2013, 3(4): e118.

[19] SHNOL H, LAPORTA G A. 3D printed total talar replacement: A promising treatment option for advanced arthritis, avascular osteonecrosis, and osteomyelitis of the ankle [J]. Clinics in Podiatric Medicine and Surgery, 2018, 35(4): 403-422.

[20] FANG X, LIU H, XIONG Y, et al. Total talar replacement with a novel 3D printed modular prosthesis for tumors [J]. Therapeutics and Clinical Risk Management, 2018, 14: 1897-1905. [21] HARNROONGROJ T, HARNROONGROJ T. The talar body prosthesis: Results at ten to thirty-six years of follow-up [J]. The Journal of Bone and Joint Surgery - American Volume, 2014, 96(14): 1211-1218.

[22] ANDO Y, YASUI T, ISAWA K, et al. Total talar replacement for idiopathic necrosis of the talus: A case report [J]. The Journal of Foot and Ankle Surgery, 2016, 55(6): 1292-1296.

[23] SHAH F A, SNIS A, MATIC A, et al. 3D printed Ti6Al4V implant surface promotes bone maturation and retains a higher density of less aged osteocytes at the bone-implant interface [J]. Acta Biomaterialia, 2016, 30: 357-367.
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