Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Total Talus Replacement
India's First 3D-Printed Total Talus Replacement
A lost talus from a high-impact road accident, rebuilt as India's first 3D-printed total talus replacement — reverse-engineered from a CT scan of the extruded bone.
Patient Age
39 Years
MECHANISM
Road traffic accident
PRESENTATION
Compound Injury with Complete Talar Loss
APPROACH
Staged Debridement, 3D-Printed Titanium Talus
01
Clinical Rationale
The talus was extruded entirely in a road accident and later brought in by relatives — too contaminated to replant. A CT scan of that extruded bone was used to reverse-engineer a patient-specific titanium replacement, implanted once infection risk had passed.
02
Surgical Approach
After debridement, an antibiotic cement spacer and external fixation, the decision was made not to replant the contaminated talus. A CT scan of the extruded bone was used to 3D-print a patient-specific titanium prosthesis — India's first 3D-printed total talus replacement — implanted via an anterior approach at three months.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Total talus replacement is an exciting option for cases of complete talar loss.
#2
The implant is prepared with medical-grade titanium, reverse-engineered from the patient's own anatomy.
#3
Implant longevity is not yet fully known; recent studies show five-year mid-term survivorship.
#4
A contaminated extruded talus is best replaced rather than replanted to avoid infection.
04
Clinical Care Points
RIGHT SIDE
- i) Debridement + antibiotic cement spacer
ii) External fixation + limb fixation
iii) CT-derived 3D-printed titanium talus
iv) Anterior-approach implantation at 3 months
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
India's First 3D-Printed Total Talus Replacement
A lost talus from a high-impact road accident, rebuilt as India's first 3D-printed total talus replacement — reverse-engineered from a CT scan of the extruded bone.
A 39-year-old man sustained a severe open ankle injury in a road-traffic accident, with the talus completely extruded from the body and multiple associated injuries. Initial treatment included debridement, an antibiotic-cement spacer and external fixation; the extruded talus arrived three days later and was considered unsafe to reinsert. The challenge was to restore the missing link between the leg and foot without immediately sacrificing all hindfoot movement.
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