{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:02:37Z","timestamp":1792519357733,"version":"4.5.0"},"reference-count":40,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Foot and Ankle Surgery"],"published-print":{"date-parts":[[2023,12]]},"DOI":"10.1016\/j.fas.2023.05.005","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T21:10:39Z","timestamp":1684876239000},"page":"576-583","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["The use of a 3D printed titanium implant for arthrodesis in the management of large osseous defects in the ankle"],"prefix":"10.1016","volume":"29","author":[{"given":"Andrew","family":"Strydom","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikiforos P.","family":"Saragas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo NF","family":"Ferrao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib1","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1302\/0301-620X.100B4.BJJ-2017-0963","article-title":"Revision of failed total ankle arthroplasty to a hindfoot fusion: 23 consecutive cases using the Phoenix nail","volume":"100-b","author":"Ali","year":"2018","journal-title":"Bone Jt J"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib2","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.fcl.2020.08.013","article-title":"Induced membrane technique (Masquelet) for bone defects in the distal tibia, foot, and ankle: systematic review, case presentations, tips, and techniques","volume":"25","author":"Andrzejowski","year":"2020","journal-title":"Foot Ankle Clin"},{"issue":"5","key":"10.1016\/j.fas.2023.05.005_bib3","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1007\/s00264-020-04523-y","article-title":"Analysis of principles inspiring design of three-dimensional-printed custom-made prostheses in two referral centres","volume":"44","author":"Angelini","year":"2020","journal-title":"Int Orthop"},{"issue":"1","key":"10.1016\/j.fas.2023.05.005_bib4","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.fcl.2018.11.002","article-title":"Tibiotalocalcaneal arthrodesis for severe talar avascular necrosis","volume":"24","author":"Lachman","year":"2019","journal-title":"Foot Ankle Clin"},{"issue":"1","key":"10.1016\/j.fas.2023.05.005_bib5","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1053\/j.jfas.2017.07.019","article-title":"Large osseous defect reconstruction using a custom three-dimensional printed titanium truss implant","volume":"57","author":"So","year":"2018","journal-title":"J Foot Ankle Surg"},{"issue":"5","key":"10.1016\/j.fas.2023.05.005_bib6","doi-asserted-by":"crossref","first-page":"S493","DOI":"10.3113\/FAI.2011.0493","article-title":"Salvage of failed total ankle arthroplasty with fusion using structural allograft and internal fixation","volume":"32","author":"Berkowitz","year":"2011","journal-title":"Foot Ankle Int"},{"issue":"2","key":"10.1016\/j.fas.2023.05.005_bib7","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/1938640014565046","article-title":"Ankle arthrodesis after failed total ankle replacement: a systematic review of the literature","volume":"8","author":"Gross","year":"2015","journal-title":"Foot Ankle Spec"},{"issue":"2","key":"10.1016\/j.fas.2023.05.005_bib8","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1177\/1938640019843317","article-title":"Ankle arthrodesis with structural grafts can work for the salvage of failed total ankle arthroplasty","volume":"13","author":"Halverson","year":"2020","journal-title":"Foot Ankle Spec"},{"issue":"1","key":"10.1016\/j.fas.2023.05.005_bib9","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1302\/0301-620X.94B1.27690","article-title":"Use of the reamer\u2013irrigator\u2013aspirator technique to obtain autograft for ankle and hindfoot arthrodesis","volume":"94-B","author":"Herscovici","year":"2012","journal-title":"J Bone Jt Surg Br Vol"},{"issue":"1","key":"10.1016\/j.fas.2023.05.005_bib10","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.fcl.2009.10.003","article-title":"Strategies for managing massive defects of the foot in high-energy combat injuries of the lower extremity","volume":"15","author":"Keeling","year":"2010","journal-title":"Foot Ankle Clin"},{"issue":"1","key":"10.1016\/j.fas.2023.05.005_bib11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S1083-7515(01)00002-X","article-title":"Use of structural allograft to compensate for bone loss in arthrodesis of the foot and ankle","volume":"7","author":"Neufeld","year":"2002","journal-title":"Foot Ankle Clin"},{"issue":"8","key":"10.1016\/j.fas.2023.05.005_bib12","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1177\/1071100720920846","article-title":"Long-term autograft harvest site pain after ankle and hindfoot arthrodesis","volume":"41","author":"Baumhauer","year":"2020","journal-title":"Foot Ankle Int"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib13","article-title":"The impact of patient age on foot and ankle arthrodesis supplemented with autograft or an autograft alternative (rhPDGF-BB\/\u03b2-TCP)","volume":"5","author":"Berlet","year":"2020","journal-title":"JB JS Open Access"},{"issue":"1","key":"10.1016\/j.fas.2023.05.005_bib14","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/1938640020980914","article-title":"Salvage tibiotalocalcaneal arthrodesis augmented with fibular columns and iliac crest autograft: a technical note","volume":"14","author":"Bernasconi","year":"2021","journal-title":"Foot Ankle Spec"},{"issue":"5","key":"10.1016\/j.fas.2023.05.005_bib15","doi-asserted-by":"crossref","first-page":"1127e","DOI":"10.1097\/PRS.0000000000005547","article-title":"Ankle arthrodesis with free vascularized fibula autograft using saphenous vein grafts: a case series","volume":"143","author":"P\u00e9rez-Garc\u00eda","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"9","key":"10.1016\/j.fas.2023.05.005_bib16","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1177\/1071100713488765","article-title":"Tibiotalocalcaneal arthrodesis with bulk femoral head allograft for salvage of large defects in the ankle","volume":"34","author":"Jeng","year":"2013","journal-title":"Foot Ankle Int"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib17","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.fcl.2016.07.016","article-title":"Orthobiologics in the foot and ankle","volume":"21","author":"Temple","year":"2016","journal-title":"Foot Ankle Clin"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib18","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.fcl.2016.07.001","article-title":"Role of recombinant human bone morphogenetic protein-2 on hindfoot arthrodesis","volume":"21","author":"Hreha","year":"2016","journal-title":"Foot Ankle Clin"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib19","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/j.fcl.2012.08.008","article-title":"Revision total ankle replacement","volume":"17","author":"Jonck","year":"2012","journal-title":"Foot Ankle Clin"},{"issue":"3","key":"10.1016\/j.fas.2023.05.005_bib20","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.fcl.2008.05.005","article-title":"Primary and revision total ankle replacement using custom-designed prostheses","volume":"13","author":"Myerson","year":"2008","journal-title":"Foot Ankle Clin"},{"issue":"2","key":"10.1016\/j.fas.2023.05.005_bib21","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1302\/0301-620X.99B2.BJJ-2016-0504.R2","article-title":"Custom-made total ankle arthroplasty for the salvage of major talar bone loss","volume":"99-B","author":"J. W","year":"2017","journal-title":"Bone Jt J"},{"issue":"11","key":"10.1016\/j.fas.2023.05.005_bib22","doi-asserted-by":"crossref","first-page":"947","DOI":"10.3113\/FAI.2012.0947","article-title":"Circular external fixator-assisted ankle arthrodesis following failed total ankle arthroplasty","volume":"33","author":"McCoy","year":"2012","journal-title":"Foot Ankle Int"},{"issue":"12","key":"10.1016\/j.fas.2023.05.005_bib23","doi-asserted-by":"crossref","first-page":"2842","DOI":"10.1016\/j.injury.2017.10.036","article-title":"The psychological impact of external fixation using the Ilizarov or Orthofix LRS method to treat tibial osteomyelitis with a bone defect","volume":"48","author":"Abulaiti","year":"2017","journal-title":"Injury"},{"issue":"8","key":"10.1016\/j.fas.2023.05.005_bib24","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1177\/1071100718770133","article-title":"Use of patient-specific 3D-printed titanium implants for complex foot and ankle limb salvage, deformity correction, and arthrodesis procedures","volume":"39","author":"Dekker","year":"2018","journal-title":"Foot Ankle Int"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib25","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1177\/1071100715620895","article-title":"Salvage of severe foot and ankle trauma with a 3D printed scaffold","volume":"37","author":"Hamid","year":"2016","journal-title":"Foot Ankle Int"},{"issue":"6","key":"10.1016\/j.fas.2023.05.005_bib26","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1177\/1938640015593079","article-title":"Patient-specific 3-dimensional printed titanium truss cage with tibiotalocalcaneal arthrodesis for salvage of persistent distal tibia nonunion","volume":"8","author":"Hsu","year":"2015","journal-title":"Foot Ankle Spec"},{"key":"10.1016\/j.fas.2023.05.005_bib27","article-title":"Use of three-dimensional titanium trusses for arthrodesis procedures in foot and ankle surgery: a retrospective case series","author":"Parry","year":"2020","journal-title":"J Foot Ankle Surg"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib28","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1053\/j.jfas.2018.11.022","article-title":"Subtalar joint distraction arthrodesis utilizing a titanium truss: a case series","volume":"58","author":"Persaud","year":"2019","journal-title":"J Foot Ankle Surg"},{"issue":"8","key":"10.1016\/j.fas.2023.05.005_bib29","doi-asserted-by":"crossref","first-page":"740","DOI":"10.3113\/FAI.2011.0740","article-title":"Revision rates after total ankle arthroplasty in sample-based clinical studies and national registries","volume":"32","author":"Labek","year":"2011","journal-title":"Foot Ankle Int"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib30","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.cpm.2015.06.012","article-title":"Total ankle replacement survival rates based on kaplan-meier survival analysis of national joint registry data","volume":"32","author":"Bartel","year":"2015","journal-title":"Clin Podiatr Med Surg"},{"key":"10.1016\/j.fas.2023.05.005_bib31","series-title":"The National Joint Registry 18th Annual Report 2021","author":"Ben-Shlomo","year":"2021"},{"issue":"17","key":"10.1016\/j.fas.2023.05.005_bib32","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.2106\/JBJS.15.01341","article-title":"Trends in complication rates following ankle arthrodesis and total ankle replacement","volume":"98","author":"Stavrakis","year":"2016","journal-title":"J Bone Jt Surg Am"},{"issue":"2","key":"10.1016\/j.fas.2023.05.005_bib33","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.fcl.2020.02.003","article-title":"Salvage arthrodesis for failed total ankle replacement","volume":"25","author":"Adams","year":"2020","journal-title":"Foot Ankle Clin"},{"key":"10.1016\/j.fas.2023.05.005_bib34","doi-asserted-by":"crossref","DOI":"10.1177\/1071100720983811","article-title":"Femoral head allografts for talar body defects","author":"Coetzee","year":"2021","journal-title":"Foot Ankle Int"},{"issue":"6","key":"10.1016\/j.fas.2023.05.005_bib35","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1177\/1071100714536368","article-title":"Arthrodesis after failed total ankle replacement","volume":"35","author":"Deleu","year":"2014","journal-title":"Foot Ankle Int"},{"issue":"4","key":"10.1016\/j.fas.2023.05.005_bib36","first-page":"E191-6","article-title":"The evaluation of donor site pain after harvest of tricortical anterior iliac crest bone graft for spinal surgery: a prospective study","volume":"41","author":"Armaghani","year":"2016","journal-title":"Spine (Philos Pa 1976)"},{"key":"10.1016\/j.fas.2023.05.005_bib37","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1097\/00003086-199608000-00037","article-title":"Complications of iliac crest bone graft harvesting","volume":"329","author":"Arrington","year":"1996","journal-title":"Clin Orthop Relat Research\u00ae"},{"issue":"2","key":"10.1016\/j.fas.2023.05.005_bib38","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.fas.2009.01.001","article-title":"Conversion of failed ankle arthroplasty to an arthrodesis. Technique using an arthrodesis nail and a cage filled with morsellized bone graft","volume":"16","author":"Bullens","year":"2010","journal-title":"Foot Ankle Surg"},{"issue":"6","key":"10.1016\/j.fas.2023.05.005_bib39","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1177\/10711007221077113","article-title":"Outcomes of surgical reconstruction using custom 3D-printed porous titanium implants for critical-sized bone defects of the foot and ankle","volume":"43","author":"Abar","year":"2022","journal-title":"Foot Ankle Int"},{"issue":"5","key":"10.1016\/j.fas.2023.05.005_bib40","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1053\/j.jfas.2018.12.036","article-title":"Revision of failed total ankle replacement with a custom 3-dimensional printed talar component with a titanium truss cage: a case presentation","volume":"58","author":"Patel","year":"2019","journal-title":"J Foot Ankle Surg"}],"container-title":["Foot and Ankle Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773123000954?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1268773123000954?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T11:11:20Z","timestamp":1761131480000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1268773123000954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":40,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S1268773123000954"],"URL":"https:\/\/doi.org\/10.1016\/j.fas.2023.05.005","relation":{},"ISSN":["1268-7731"],"issn-type":[{"value":"1268-7731","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The use of a 3D printed titanium implant for arthrodesis in the management of large osseous defects in the ankle","name":"articletitle","label":"Article Title"},{"value":"Foot and Ankle Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.fas.2023.05.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}