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Review
. 2023 Oct;40(4):735-747.
doi: 10.1016/j.cpm.2023.05.014. Epub 2023 Jul 7.

Management of Talar Avascular Necrosis with Total Talus

James M Cottom  1 , Jay S Badell  2 , Joseph R Wolf  2
Affiliations
Review

Management of Talar Avascular Necrosis with Total Talus

James M Cottom et al. Clin Podiatr Med Surg. 2023 Oct.

Abstract

Avascular necrosis (AVN) of the talus is a difficult pathology to treat. Patient-specific factors such as functional status, comorbidities should be considered. Previous standard care for talar AVN was centered around arthrodesis procedures and loss of motion about the joints of the rearfoot and ankle. With the advent of 3D printed talar implants, patients are afforded an option to maintain ankle joint motion. Literature is limited due to the recent development of total talus replacement (TTR) technology. This article aims to review literature, surgical techniques, and pearls to better help foot and ankle surgeons treat cases of talar AVN.

Keywords: 3D printing; Ankle arthritis; Avascular necrosis; Talus replacement; Total talus.

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