{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:06:42Z","timestamp":1783480002997,"version":"3.55.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:00:00Z","timestamp":1569542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Comminuted talar fractures are rare. Generally, this fracture occurs as a result of high-energy injuries. Therefore, this operation is challenging for the surgeon. We started to replace the whole talus with a total talar prosthesis in cases of aseptic talar necrosis in 2005. Based on these results, replacement with a ceramic artificial talus was performed as the initial treatment for comminuted talar fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>From 2009 to 2016, a total of 6 feet of 6 patients with comminuted talar dome fractures or talar body defects were replaced with a ceramic artificial talus. The patients\u2019 mean age was 40.3 years (range, 19-59). Postoperative assessments were performed in accordance with the American Orthopaedic Foot &amp; Ankle Society (AOFAS) ankle\/hindfoot score system. Postoperative range of motion and sports activities were also evaluated. Follow-up ranged from 12 to 84 (mean, 46.8) months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The postoperative AOFAS score was on average 78.8 (64-100). The postoperative range of motion was on average 10 degrees (5-20) for dorsiflexion and 31 degrees (15-50) for plantarflexion. Three patients had returned to sport activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Prosthetic total talar replacement was a useful procedure for patients with comminuted talar fractures, which had good congruency of the custom-made implant with the adjacent joints, resulting in stability, and maintained ankle function. Furthermore, this procedure could prevent the complications of long-term external fixation and non-weight-bearing walking seen after open reduction and arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100719875723","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T08:26:53Z","timestamp":1569572813000},"page":"79-83","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Ceramic Artificial Talus as the Initial Treatment for Comminuted Talar Fractures"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8152-0109","authenticated-orcid":false,"given":"Ryuhei","family":"Katsui","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery of Nishi Nara Central Hospital, Nara-shi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Takakura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery of Nishi Nara Central Hospital, Nara-shi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Taniguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nara Medical University, Kashihara-shi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhito","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nara Medical University, Kashihara-shi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,9,27]]},"reference":[{"key":"bibr1-1071100719875723","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2004.02.010"},{"key":"bibr2-1071100719875723","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000297"},{"key":"bibr3-1071100719875723","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200204000-00001"},{"key":"bibr4-1071100719875723","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/00003086-198510000-00013","volume":"199","author":"Grob D","year":"1985","journal-title":"Clin Orthop Relat Res"},{"key":"bibr5-1071100719875723","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2008.05.001"},{"key":"bibr6-1071100719875723","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052050-00013"},{"key":"bibr7-1071100719875723","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200410000-00014"},{"key":"bibr8-1071100719875723","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.01.021"},{"key":"bibr9-1071100719875723","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3182821034"},{"key":"bibr10-1071100719875723","doi-asserted-by":"publisher","DOI":"10.3109\/17453677708988775"},{"key":"bibr11-1071100719875723","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.01341"},{"key":"bibr12-1071100719875723","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B11.29543"},{"key":"bibr13-1071100719875723","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.01272"},{"key":"bibr14-1071100719875723","doi-asserted-by":"publisher","DOI":"10.5812\/traumamon.11228"},{"key":"bibr15-1071100719875723","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200409001-00008"},{"key":"bibr16-1071100719875723","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200408000-00003"},{"issue":"5","key":"bibr17-1071100719875723","first-page":"521","volume":"61","author":"Yoshinaga K.","year":"1987","journal-title":"Nihon Seikeigeka Gakkai Zasshi"}],"container-title":["Foot &amp; 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