{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:17:41Z","timestamp":1773022661725,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["3D Print Med"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>With today\u2019s expanding use of total ankle arthroplasty, the ever-present trauma patient, and patients with uncontrolled comorbid conditions, surgeons face significant challenges for lower extremity reconstruction. These patients highlight some of those who may present with unique anatomy, bone loss, infection, and various other local and systemic factors that affect treatment options for successful outcomes. Three dimensional (3-D) printing for medical devices is allowing for new and customized ways to meet patient and surgeon goals of limb salvage and reconstruction.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentations<\/jats:title>\n                <jats:p>While the majority of 3-D printing is done for the purpose of implantation, we present a technical tip for designing a 3-D printed mold from which to create an antibiotic cement spacer for implantation. With two case illustrations including a talus fracture nonunion and infected subtalar arthrodesis nonunion, we describe the process of patient selection, implant design, fabrication, and implantation of a custom molded antibiotic cement talus.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>Case illustrations present two successful limb salvage patients while giving a thorough explanation of our technique, learned tips and tricks. This applied technology builds on prior use of antibiotic cement in limb salvage of the lower extremity, most of which are joint sacrificing. 3-D printing the mold for an anatomic talus cement spacer results in a joint sparing limb salvage solution.<\/jats:p>\n                <jats:p>Innovative 3-D printing technology is merged with current, pertinent literature regarding antibiotic cement to offer surgeons expanded options for temporary or definitive reconstructive techniques in some of the most challenging patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s41205-021-00117-5","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T07:05:15Z","timestamp":1631862315000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["3-D generated anatomic custom talar cement spacers: case reports, technical tips and literature review"],"prefix":"10.1186","volume":"7","author":[{"given":"Kimberly K.","family":"Broughton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bonnie","family":"Chien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek","family":"Stenquist","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher P.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Y.","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"issue":"1_suppl","key":"117_CR1","doi-asserted-by":"publisher","first-page":"48S","DOI":"10.1177\/1071100719861098","volume":"40","author":"R Shakked","year":"2019","unstructured":"Shakked R, Da Rin de Lorenzo F. What Determines the Type and Dose of Antibiotic That Is Needed to Be Added to the Cement Spacer in Patients With Infected Total Ankle Arthroplasty (TAA)? Foot Ankle Int. 2019;40(1_suppl):48S \u2013 52S.","journal-title":"Foot Ankle Int"},{"issue":"1","key":"117_CR2","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1053\/j.jfas.2014.10.009","volume":"54","author":"CC Hong","year":"2015","unstructured":"Hong CC, Tan KJ, Lahiri A, Nather A. Use of a Definitive Cement Spacer for Simultaneous Bony and Soft Tissue Reconstruction of Mid- and Hindfoot Diabetic Neuroarthropathy:A Case Report. The Journal of Foot Ankle Surgery. 2015;54(1):120\u20135. doi:https:\/\/doi.org\/10.1053\/j.jfas.2014.10.009.","journal-title":"The Journal of Foot Ankle Surgery"},{"issue":"3","key":"117_CR3","doi-asserted-by":"publisher","first-page":"213","DOI":"10.3113\/FAI.2012.0213","volume":"33","author":"EA Melamed","year":"2012","unstructured":"Melamed EA, Peled E. Antibiotic impregnated cement spacer for salvage of diabetic osteomyelitis. Foot Ankle Int. 2012;33(3):213\u20139.","journal-title":"Foot Ankle Int"},{"issue":"2","key":"117_CR4","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1053\/j.jfas.2016.10.022","volume":"56","author":"T Elmarsafi","year":"2017","unstructured":"Elmarsafi T, Oliver NG, Steinberg JS, Evans KK, Attinger CE, Kim PJ. Long-Term Outcomes of Permanent Cement Spacers in the Infected Foot. J Foot Ankle Surg. 2017;56(2):287\u201390.","journal-title":"J Foot Ankle Surg"},{"issue":"3","key":"117_CR5","doi-asserted-by":"publisher","first-page":"173","DOI":"10.3113\/FAI.2012.0173","volume":"33","author":"P Ferrao","year":"2012","unstructured":"Ferrao P, Myerson MS, Schuberth JM, McCourt MJ. Cement spacer as definitive management for postoperative ankle infection. 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