Custom-Made Total Talonavicular Replacement in a Professional Rock Climber: Functional Evaluation With Gait Analysis and 3-Dimensional Medical Imaging in Weightbearing at 5 Years’ Follow-Up
Section snippets
General Information
A 27-year-old professional rock climbing athlete first came to our attention in January 2011 (11). He reported that a talar and navicular fracture occurred in September 2009 after a fall during rock climbing and was treated in another center by open reduction and internal fixation. In October 2010, he underwent a second surgical intervention to remove internal fixation devices, followed by rehabilitation. Four months later, he reported severe pain, loss of function, and limitation of
Discussion
When this case of a professional young rock climber with talar avascular necrosis consequent to talar and navicular fractures came to our attention, the talonavicular replacement with a custom-made prosthesis was taken as the treatment of choice, also considering patient's status and the request to come back to preinjury professional sport level. This surgical procedure was deemed to be the most suitable option to address both the high functional demands and possible long-term implant survival.
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Outcomes following total talus replacement: A systematic review
2022, Foot and Ankle SurgeryCitation Excerpt :The TTR may be performed in isolation or can in conjunction with a TAA (combined TAA-TTR) in the setting of tibiotalar arthritis, which may be incorporated as a porous on-growth surface at the subtalar or talonavicular joints. While combined TAA-TTR are reported in the literature [38],[39],[40], these procedures were not included in this current review as they are few in number and represent a unique subset of talar prosthetics. TTR is unique in its ability to retain the hindfoot and joint space height and range of motion, contributing to proper hindfoot function and ankle joint mechanics.
Pre-planning of individualized talus implants based on computed tomography-automated segmentation
2023, Proceedings of SPIE - The International Society for Optical EngineeringGait Analysis based on Azure Kinect 3D Human Skeleton
2021, Proceedings - 2021 International Conference on Computer Information Science and Artificial Intelligence, CISAI 2021
Financial Disclosure: This work was supported by the Italian Ministry of Economy and Finance, programme ‘‘5 per mille.’’
Conflict of Interest: None reported.