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Three-Year Follow-Up of a Traumatic Critical-Sized Tibial Bone Defect Treated with a 3D Printed Titanium Cage: A Case Report.

Publication ,  Journal Article
Johnson, LG; Kearney, MM; Allen, NB; Adams, SB
Published in: JBJS Case Connect
January 1, 2023

CASE: We report a case involving a 21-year-old woman who sustained a Grade III open pilon fracture of the left ankle during a motor vehicle accident that resulted in a 12-cm critical-sized bone defect (CSD) that was successfully treated with a three-dimensional (3D) printed titanium alloy (Ti-6Al-4V) cage, a tibiotalocalcaneal intramedullary nail, and autogenous and allograft bone. The patient's reported outcome measures were comparable with those reported for non-CSD injuries at 3-year follow-up. The authors conclude that 3D printed titanium cages offers a unique approach to traumatic limb salvage for tibial CSD. CONCLUSIONS: 3D printing offers a novel solution to CSDs. To the best of our knowledge, this case report details the largest 3D printed cage, to date, used to treat tibial bone loss. This report describes a unique approach to traumatic limb salvage with favorable patient-reported outcomes and evidence of radiographic fusion at a 3-year follow up.

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Published In

JBJS Case Connect

DOI

EISSN

2160-3251

Publication Date

January 1, 2023

Volume

13

Issue

1

Location

United States

Related Subject Headings

  • Young Adult
  • Titanium
  • Prostheses and Implants
  • Printing, Three-Dimensional
  • Humans
  • Follow-Up Studies
  • Female
  • Bone and Bones
  • Adult
 

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Johnson, L. G., Kearney, M. M., Allen, N. B., & Adams, S. B. (2023). Three-Year Follow-Up of a Traumatic Critical-Sized Tibial Bone Defect Treated with a 3D Printed Titanium Cage: A Case Report. JBJS Case Connect, 13(1). https://doi.org/10.2106/JBJS.CC.22.00077
Johnson, Lindsey G., Molly M. Kearney, Nicholas B. Allen, and Samuel B. Adams. “Three-Year Follow-Up of a Traumatic Critical-Sized Tibial Bone Defect Treated with a 3D Printed Titanium Cage: A Case Report.JBJS Case Connect 13, no. 1 (January 1, 2023). https://doi.org/10.2106/JBJS.CC.22.00077.
Johnson, Lindsey G., et al. “Three-Year Follow-Up of a Traumatic Critical-Sized Tibial Bone Defect Treated with a 3D Printed Titanium Cage: A Case Report.JBJS Case Connect, vol. 13, no. 1, Jan. 2023. Pubmed, doi:10.2106/JBJS.CC.22.00077.

Published In

JBJS Case Connect

DOI

EISSN

2160-3251

Publication Date

January 1, 2023

Volume

13

Issue

1

Location

United States

Related Subject Headings

  • Young Adult
  • Titanium
  • Prostheses and Implants
  • Printing, Three-Dimensional
  • Humans
  • Follow-Up Studies
  • Female
  • Bone and Bones
  • Adult