Patient Specific Talus Spacer Treats Avascular Necrosis
|
By HospiMedica International staff writers Posted on 04 Mar 2021 |

Image: The 3D printed Patient Specific Talus Spacer (Photo courtesy of Additive Orthopaedics)
An additively manufactured patient specific implant allows patients suffering from avascular necrosis (AVN) to regain motion and reduce pain in the ankle.
The Additive Orthopaedics (Little Silver, NJ, USA) Patient Specific Talus Spacer is a three dimension (3D) printed implant that is designed to provide a joint-sparing alternative to other surgical interventions commonly used in late-stage AVN that may disable motion of the ankle joint. Constructed of a porous lattice structure in order to support bony in-growth, the advanced talus implant includes complex geometries that lead to enhanced osteointegration, which are not possible with traditional manufacturing processes.
The Patient Specific Talus Spacer is 3D printed for each patient individually, modeled from a computed tomography (CT) scan, and is fitted to the patient's specific anatomy. During the replacement surgery, the patient's talus bone is removed and replaced with the implant, which is made from cobalt chromium alloy. While fusion may become necessary in the future (should the condition worsen), the Additive Orthopaedics Talus Spacer provides a joint-sparing procedure, as it allows the patient to retain motion in the ankle joint.
“Avascular necrosis of the talus is extremely painful and debilitating for these patients. The Patient Specific Talus Spacer is another example of how 3D printed devices can improve the standard of care,” said Greg Kowalczyk, President of Additive Orthopaedics. “Surgical treatment options are below-the-knee amputation or joint fusion, which results in loss of motion of the ankle, and can have poor outcomes.”
AVN of the ankle joint is a serious and progressive condition that causes death of bone tissue stemming from a lack of blood supply to the area. It is often caused by a sudden injury--such as a broken bone or a dislocated joint--or sustained damage to the tissue that develops over time, causing the damaged bone to turn necrotic. When a joint is affected, such as the ankle, the cartilage also deteriorates, leading to arthritis and pain. Late-stage AVN of the ankle may result in the talus partially or fully collapsing.
Related Links:
Additive Orthopaedics
The Additive Orthopaedics (Little Silver, NJ, USA) Patient Specific Talus Spacer is a three dimension (3D) printed implant that is designed to provide a joint-sparing alternative to other surgical interventions commonly used in late-stage AVN that may disable motion of the ankle joint. Constructed of a porous lattice structure in order to support bony in-growth, the advanced talus implant includes complex geometries that lead to enhanced osteointegration, which are not possible with traditional manufacturing processes.
The Patient Specific Talus Spacer is 3D printed for each patient individually, modeled from a computed tomography (CT) scan, and is fitted to the patient's specific anatomy. During the replacement surgery, the patient's talus bone is removed and replaced with the implant, which is made from cobalt chromium alloy. While fusion may become necessary in the future (should the condition worsen), the Additive Orthopaedics Talus Spacer provides a joint-sparing procedure, as it allows the patient to retain motion in the ankle joint.
“Avascular necrosis of the talus is extremely painful and debilitating for these patients. The Patient Specific Talus Spacer is another example of how 3D printed devices can improve the standard of care,” said Greg Kowalczyk, President of Additive Orthopaedics. “Surgical treatment options are below-the-knee amputation or joint fusion, which results in loss of motion of the ankle, and can have poor outcomes.”
AVN of the ankle joint is a serious and progressive condition that causes death of bone tissue stemming from a lack of blood supply to the area. It is often caused by a sudden injury--such as a broken bone or a dislocated joint--or sustained damage to the tissue that develops over time, causing the damaged bone to turn necrotic. When a joint is affected, such as the ankle, the cartilage also deteriorates, leading to arthritis and pain. Late-stage AVN of the ankle may result in the talus partially or fully collapsing.
Related Links:
Additive Orthopaedics
Latest Surgical Techniques News
- FDA Approves First Sirolimus Drug-Eluting Balloon for Coronary In-Stent Restenosis
- Light-Activated Nanoparticles May Offer New Approach to Retinal Prostheses
- Handheld Infrared Imaging Device Supports Tumor Margin Assessment During Surgery
- Needle-Free Intrauterine Anesthesia Technique Reduces Pain During IUD Insertion
- Robotic Platform Advances Fetoscopic Treatment of Twin-to-Twin Transfusion Syndrome
- Patient-Specific AI Tool Aligns X-Rays With 3D Scans For Surgical Navigation
- FDA Clears Integrated Platform for Real-Time Cardiac Imaging and Catheter Guidance
- Hydrogel Dermal Supports Healing of Complex Wounds After Cancer Surgery
- New Microcatheter Enhances Lesion Crossing in Complex Coronary Interventions
- Integrated PET/MRI and EEG Improves Presurgical Lesion Localization in Pediatric Focal Epilepsy
- Integrated Perioperative Care Model Improves Recovery in Older Surgical Patients
- New Transvaginal Transducer Improves Imaging for Gynecology and Early Obstetrics
- FDA Approves Abbott Dual-Energy Catheter for Complex AFib Cases
- Mobile 3-in-1 Imaging System Advances Intraoperative Navigation
- First Thyroid Cancer-Specific Anxiety Scale Supports Patient-Centered Care
- Tissue-Mimicking Scaffold Could Improve Rotator Cuff Repair
Channels
Artificial Intelligence
view channelAI Improves Non-Contrast CT Interpretation for Time-Sensitive Stroke Assessment
Acute ischemic stroke occurs when a blood vessel in the brain becomes blocked, requiring rapid diagnosis to enable timely reperfusion therapy. Emergency departments often use computed tomography angiography... Read more
AI-Powered ECG Model Gains FDA Authorization for Emergency Cardiac Assessment
Powerful Medical’s PMcardio Queen of Hearts (ACS AI ECG Model) has received U.S. Food and Drug Administration (FDA) De Novo authorization, announced on September 15, 2026. The model is designed to identify... Read moreCritical Care
view channel
Anatomical Guidance System Improves Trauma Ultrasound Acquisition by Novice Users
Focused assessment with sonography for trauma (FAST) helps clinicians detect free fluid and signs of internal bleeding in injured patients, but obtaining reliable images can be difficult for inexperienced operators.... Read more
AI-Enhanced Handheld Ultrasound Improves Carotid Plaque Detection
Handheld ultrasound can miss small or faint carotid plaque, creating uncertainty in community screening. This gap makes it harder for frontline clinicians to decide who needs confirmatory imaging, closer... Read more
Noninvasive Imaging Approach Aims to Detect Basal Cell Carcinoma Before It Becomes Visible
Basal cell carcinoma is the most common form of skin cancer and can damage nearby structures such as the nose or eyes when it develops on the face. Diagnosis typically depends on visible skin changes,... Read morePatient Care
view channel
EHR Model Flags High-Risk Periods in Patients with Metastatic Breast Cancer
Determining when patients with metastatic breast cancer are nearing the end of life remains difficult, often leading to intensive interventions with limited benefit. Prognostic uncertainty can delay goals-of-care... Read more
Virtual Reality Helps Claustrophobic Patients Complete Cardiac PET/CT Scans
Anxiety and claustrophobia—intense fear of confined spaces—often prevent patients from completing cardiac positron emission tomography/computed tomography (PET/CT). Aborted scans delay diagnosis, consume... Read moreMedical Imaging
view channel
New MRI Approach Captures Rapidly Decaying Tissue Signals
MRI measures signals generated as excited proton spins return toward equilibrium. However, some tissue signals decay so rapidly that conventional systems can miss them during the brief interval after excitation,... Read more
AI Tool Integrates MRI and Ultrasound to Detect Endometriosis
Endometriosis is a chronic condition in which tissue similar to the uterine lining grows outside the uterus, causing pain, heavy bleeding, and infertility. Diagnosis often depends on surgical visualization,... Read moreHealth IT
view channel
New Tablet Platform Extends Stroke Neurorehabilitation Beyond the Clinic
Continuity and intensity of neurorehabilitation after stroke are critical for functional recovery, but access to ongoing therapy at home often remains limited. Hospitals and outpatient programs therefore... Read more
Smartphone App Improves Blood Pressure Control in Hypertension
Hypertension, or high blood pressure, is a major modifiable driver of cardiovascular, renal, and cerebrovascular morbidity. Despite effective therapies, many adults fail to achieve control, leading to... Read morePoint of Care
view channel
Continuous Glucose Monitoring Identifies Cardiometabolic Risk in Adults Without Diabetes
Dysglycemia—abnormal blood glucose regulation—can fluctuate throughout the day and often escape conventional screening. Clinicians typically rely on fasting plasma glucose and hemoglobin A1c, which offer... Read more
Microneedle Patch Enables At-Home Monitoring of Acute Kidney Injury
Kidney disease is often silent in its early stages, making timely detection difficult outside clinical settings. Early biomarkers such as neutrophil gelatinase–associated lipocalin can require blood draws... Read moreBusiness
view channel
Medtronic Receives FDA Clearance for Vessel-Sealing Instrument for Robotic Surgery
As robotic-assisted surgery expands across U.S. hospitals, teams increasingly seek energy instruments with the familiarity and performance of tools used in open and laparoscopic procedures.... Read more
Robotic Single-Port System Gains CE Mark for Transvaginal Gynecologic Procedures
Intuitive (Sunnyvale, CA, USA) announced that it has received CE mark approval for use of the da Vinci SP Single Port surgical system in transvaginal gynecologic procedures, marking the first such indication... Read more







