64 year old female who presented pain within her great toe.  Patient had a history of silicone total implant surgery to the 1^st MTP which she subsequently had removed after a second surgery.  Over time patient developed pain in the ball of her foot and was unable to bend the toe.

PHYSICAL EXAM:  0 degrees of range of motion at the 1^st MTP with focal tenderness present at the lesser metatarsals

Radiological exam: contraction of the great toe with partial autofusion at the 1^st MTP joint with elongated second and third metatarsals.

Based on the exam and failure of conservative treatment, recommend an arthrodesis of the 1^st MTP with use of 3D printed 1^st MTP fusion plate along with metatarsal osteotomies to 2^nd and 3^rd metatarsals.  For the revision case, the 3D printed implant was utilized as patient was unwilling to undergo a second site surgery with possible complications from autograft as well as the limitations of allograft bone graft, 3D printed titanium implant was utilized and provided a viable alternative for arthodesis of the 1st metatarsophalangeal joint

Pre-Operative Images

Post Operative Images

Intra-Operative Images

 

 

 

References

Use of Patient-Specific 3D-Printed Titanium Implants for Complex Foot and Ankle Limb Salvage, Deformity Correction, and Arthrodesis Procedures

3D printed Ti6Al4V implant surface promotes bone maturation and retains a higher density of less aged osteocytes at the bone-implant interface-

Salvage of Severe Foot and Ankle Trauma With a 3D Printed Scaffold