“…To evaluate functional outcomes, a wide variety of scoring systems were adopted: The only two validated outcome measures adopted in >2 studies at the last follow-up were AOFAS (81.94 points; 23 patients) [ 10 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ] and the Japanese Society for Surgery of the Foot scale (JSSF) (mean 89.68 points, 98 patients) [ 27 , 28 , 29 , 30 , 31 ]. Due to the diversity of the results obtained by the literature review, a statistical analysis was deemed not feasible.…”
Recently, total talar prosthesis has been proposed to substitute the talus during the management of complex talar lesions such as talar extrusion, comminuted talar fractures, or avascular necrosis. Herein, we report two cases of talar extrusion treated with total talar replacement after a high-intensity trauma. Both cases subsequently required revision surgery due to degenerative changes of the tibial plafond (arthrodesis in the first case, conversion to a total ankle prosthesis in the latter). We report and analyze the literature concerning total talar replacement to discuss strategies that could help improve prosthesis survival and reduce the incidence of osteoarthritis.
“…To evaluate functional outcomes, a wide variety of scoring systems were adopted: The only two validated outcome measures adopted in >2 studies at the last follow-up were AOFAS (81.94 points; 23 patients) [ 10 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ] and the Japanese Society for Surgery of the Foot scale (JSSF) (mean 89.68 points, 98 patients) [ 27 , 28 , 29 , 30 , 31 ]. Due to the diversity of the results obtained by the literature review, a statistical analysis was deemed not feasible.…”
Recently, total talar prosthesis has been proposed to substitute the talus during the management of complex talar lesions such as talar extrusion, comminuted talar fractures, or avascular necrosis. Herein, we report two cases of talar extrusion treated with total talar replacement after a high-intensity trauma. Both cases subsequently required revision surgery due to degenerative changes of the tibial plafond (arthrodesis in the first case, conversion to a total ankle prosthesis in the latter). We report and analyze the literature concerning total talar replacement to discuss strategies that could help improve prosthesis survival and reduce the incidence of osteoarthritis.
“…In 2007, Stevens et al [14] used a custom-made cobalt-chromium total talus prosthesis for the treatment of a talus defect caused by open trauma and achieved good results. In addition to the use of talus components in ankle arthroplasty, total talus prostheses have been used to treat talus defects caused by talus necrosis [15][16] and trauma [14,[17][18] and are recommended for the treatment of advanced ankle arthritis [19] . However, the use of total talus prostheses alone for the treatment of bone defects caused by tumours is still an emerging clinical issue [19] .…”
“…A customised talus prosthesis accounts for individual-specific anatomies in its geometries and is, therefore, more likely to articulate with the adjacent joint surface, which is anticipated to better consolidate the joint structure and fulfil ankle function [ 11 ]. Recently, a growing body of clinical studies has reported positive outcomes for TTR treatment [ [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] ]. Despite the varying design, TTR exhibited consistent performance in regaining ankle mobility [ 10 , 11 , 15 , 17 ], easing pain [ 10 , 13 , 15 ], and improving life quality [ 10 , 15 ].…”
Section: Introductionmentioning
confidence: 99%
“…Recently, a growing body of clinical studies has reported positive outcomes for TTR treatment [ [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] ]. Despite the varying design, TTR exhibited consistent performance in regaining ankle mobility [ 10 , 11 , 15 , 17 ], easing pain [ 10 , 13 , 15 ], and improving life quality [ 10 , 15 ]. Plausibly, TTR has certain advantages over conventional TAA.…”
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