{"id":215,"date":"2018-04-25T14:13:09","date_gmt":"2018-04-25T14:13:09","guid":{"rendered":"http:\/\/bespaglobal.com\/blog\/?p=215"},"modified":"2018-04-25T14:43:53","modified_gmt":"2018-04-25T14:43:53","slug":"revision-surgery-with-3d-printed-titanium-implant","status":"publish","type":"post","link":"https:\/\/bespaglobal.com\/blog\/blog\/revision-surgery-with-3d-printed-titanium-implant\/","title":{"rendered":"Revision Surgery with 3D Printed Titanium Implant"},"content":{"rendered":"

64 year old female who presented pain within her great toe.\u00a0\u00a0Patient had a history of silicone total implant surgery to the 1st<\/sup>\u00a0MTP which she subsequently had removed after a second surgery.\u00a0\u00a0Over time patient developed pain in the ball of her foot and was unable to bend the toe.<\/p>\n

PHYSICAL EXAM:\u00a0\u00a00 degrees of range of motion at the 1st<\/sup>\u00a0MTP with focal tenderness present at the lesser metatarsals<\/p>\n

Radiological exam: contraction of the great toe with partial autofusion at the 1st<\/sup>\u00a0MTP joint with elongated second and third metatarsals.<\/p>\n

Based on the exam and failure of conservative treatment, recommend an arthrodesis of the 1st<\/sup>\u00a0MTP with use of 3D printed 1st<\/sup>\u00a0MTP fusion plate along with metatarsal osteotomies to 2nd<\/sup>\u00a0and 3rd<\/sup>\u00a0metatarsals.\u00a0 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<\/p>\n

Pre-Operative Images<\/u><\/strong><\/p>\n

\"\"<\/a> \"\"<\/a> \"\"<\/a><\/p>\n

Post Operative Images<\/u><\/strong><\/p>\n

\"\"<\/a> \"\"<\/a>\"\"<\/a><\/p>\n

Intra-Operative Images<\/u><\/strong><\/p>\n

<\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a><\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a><\/p>\n

 <\/p>\n

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 <\/p>\n

References<\/strong><\/span><\/p>\n

Use of Patient-Specific 3D-Printed Titanium Implants for Complex Foot and Ankle Limb Salvage, Deformity Correction, and Arthrodesis Procedures<\/a><\/p>\n

3D printed Ti6Al4V implant surface promotes bone maturation and retains a higher density of less aged osteocytes at the bone-implant interface-<\/a><\/p>\n

Salvage of Severe Foot and Ankle Trauma With a 3D Printed Scaffold<\/a><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

64 year old female who presented pain within her great toe.\u00a0\u00a0Patient had a history of silicone total implant surgery to the 1st\u00a0MTP which she subsequently had removed after a second surgery.\u00a0\u00a0Over time patient developed pain in the ball of her foot and was unable to bend the toe. PHYSICAL EXAM:\u00a0\u00a00 degrees of range of motion<\/p>\n

Read More<\/a><\/p>\n","protected":false},"author":2,"featured_media":220,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[3],"tags":[],"_links":{"self":[{"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/posts\/215"}],"collection":[{"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/comments?post=215"}],"version-history":[{"count":4,"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/posts\/215\/revisions"}],"predecessor-version":[{"id":240,"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/posts\/215\/revisions\/240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/media\/220"}],"wp:attachment":[{"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/media?parent=215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/categories?post=215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bespaglobal.com\/blog\/wp-json\/wp\/v2\/tags?post=215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}