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      Three-dimensional printed talar prosthesis with biological function for giant cell tumor of the talus: A case report and review of the literature

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          Abstract

          BACKGROUND

          Giant cell tumors (GCT) are most commonly seen in the distal femur. These tumors are uncommon in the small bones of the hand and feet, and a very few cases have been reported. A giant cell tumor of the talus is rarely seen clinically and could be a challenge to physicians.

          CASE SUMMARY

          We report a rare case of GCT of the talus in one patient who underwent a new reconstructive surgery technique using a three-dimensional (3D) printing talar prosthesis. The prosthesis shape was designed by tomographic image processing and segmentation using technology to match the intact side by mirror symmetry with 3D post-processing technologies. The patient recovered nearly full range of motion of the ankle after 6 mo. The visual analogue scale and American Orthopaedic Foot and Ankle Society scores were 1 and 89 points, respectively.

          CONCLUSION

          We demonstrated that 3D printing of a talar prosthesis is a beneficial option for GCT of the talus.

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          Most cited references32

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          Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes.

          Four rating systems were developed by the American Orthopaedic Foot and Ankle Society to provide a standard method of reporting clinical status of the ankle and foot. The systems incorporate both subjective and objective factors into numerical scales to describe function, alignment, and pain.
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            Multiprocess 3D printing for increasing component functionality.

            Layer-by-layer deposition of materials to manufacture parts-better known as three-dimensional (3D) printing or additive manufacturing-has been flourishing as a fabrication process in the past several years and now can create complex geometries for use as models, assembly fixtures, and production molds. Increasing interest has focused on the use of this technology for direct manufacturing of production parts; however, it remains generally limited to single-material fabrication, which can limit the end-use functionality of the fabricated structures. The next generation of 3D printing will entail not only the integration of dissimilar materials but the embedding of active components in order to deliver functionality that was not possible previously. Examples could include arbitrarily shaped electronics with integrated microfluidic thermal management and intelligent prostheses custom-fit to the anatomy of a specific patient. We review the state of the art in multiprocess (or hybrid) 3D printing, in which complementary processes, both novel and traditional, are combined to advance the future of manufacturing.
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              Reliability and validity of the subjective component of the American Orthopaedic Foot and Ankle Society clinical rating scales.

              This study evaluates the criterion validity of the subjective component of the American Orthopaedic Foot and Ankle Society (AOFAS) clinical rating scales by correlating scores obtained with these rating scales to scores obtained with the Foot Function Index (FFI) in patients with foot and ankle conditions. To date, the AOFAS scoring scales have not been shown to provide valid information despite their popularity. The FFI, on the other hand, has previously been shown to provide valid information in regard to conditions affecting the foot and ankle. A moderately strong inverse criterion validity correlation (Pearson correlation coefficient = -0.68) was shown when preoperative patients were administered both the AOFAS and FFI questionnaires, and the resultant scores were compared. Test-retest reliability measurements showed no significant difference (P = .27) between preoperative AOFAS scale scores measured at least 2 weeks apart. Construct validity was shown (P = .006) when dependent preoperative and postoperative (at least 3 months) AOFAS scale scores were compared, indicative of the clinical rating scales' ability to discriminate and predict quality of life related to foot and ankle conditions. The moderate level of correlation, satisfactory degree of reliability, and responsiveness (ability to distinguish differences between preoperative and postoperative conditions in the same patient) observed in this study suggest that the subjective component of the AOFAS clinical rating scales provides quality-of-life information that conveys acceptable validity regarding conditions affecting the foot and ankle.
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                Author and article information

                Contributors
                Journal
                World J Clin Cases
                WJCC
                World Journal of Clinical Cases
                Baishideng Publishing Group Inc
                2307-8960
                6 May 2021
                6 May 2021
                : 9
                : 13
                : 3147-3156
                Affiliations
                Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
                Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
                Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China
                Sports Medicine Center, The First Affiliated Hospital of Army Medical University, Chongqing 400038, China. tangkanglai@ 123456hotmail.com
                Author notes

                Author contributions: Tang KL and Tao X were responsible for the conception and design of the research and article validation; Mu MD and Yang QD were responsible for data collection and integration; Yang QD was the final author of the article.

                Corresponding author: Kang-Lai Tang, MD, PhD, Doctor, Sports Medicine Center, The First Affiliated Hospital of Army Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing 400038, China. tangkanglai@ 123456hotmail.com

                Article
                jWJCC.v9.i13.pg3147
                10.12998/wjcc.v9.i13.3147
                8080752
                33969102
                56fbe28c-d9c8-45ef-a865-63fbc3e3be3b
                ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

                This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                : 24 November 2020
                : 29 January 2021
                : 5 March 2021
                Categories
                Case Report

                three-dimensional printing technology,giant cell tumor,talar prosthesis,case report

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