Treatment of Osteosarcoma of the Talus With a 3D-Printed Talar Prosthesis

J Foot Ankle Surg. 2021 Jan-Feb;60(1):194-198. doi: 10.1053/j.jfas.2020.01.012. Epub 2020 Sep 2.

Abstract

A 31-year-old male was diagnosed with osteoblastic osteosarcoma of the talus. Limb-salvage surgery for talar osteosarcoma was performed by replacing the intact talus with a 3D-printed talar prosthesis made from medical-grade titanium. The prosthesis had 3 tunnels for simulating the ligaments around the talus. At the last follow-up, the functional and clinical outcomes were excellent. Our patient achieved 93% restoration of the Musculoskeletal Tumor Society functional score as well as a Toronto Extremity Salvage Score of 93 points, and there was no local recurrence or distant metastasis. A 3D-printed talar prosthesis showed excellent functional and clinical outcomes for a patient with osteosarcoma of the talus. A 3D-printed implant is a feasible option for patients with osteosarcoma of the foot.

Keywords: 3D printing; osteosarcoma; salvage; talar prosthesis; talus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Neoplasms* / diagnostic imaging
  • Bone Neoplasms* / surgery
  • Humans
  • Male
  • Neoplasm Recurrence, Local
  • Osteosarcoma* / diagnostic imaging
  • Osteosarcoma* / surgery
  • Printing, Three-Dimensional
  • Talus* / diagnostic imaging
  • Talus* / surgery