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Home/Foot & Ankle/World First 3-D Printed Titanium Heel Implanted
Foot & Ankle

World First 3-D Printed Titanium Heel Implanted

November 3, 2014 1 min read Premium comments

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World First 3-D Printed Titanium Heel Implanted
Source: Wikimedia Commons and PhageRules1
Secondary

The patient, Len Chandler, was 71 years old, had already survived prostate cancer, two knee replacements and had lost an eye. Then his doctor told him that he had a cancer-riddled heel and would probably have to lose his leg.

The doctor sent Chandler to see orthopedic surgeon Peter Choong, M.D. of St Vincent’s in Melbourne, Australia. As reported by Australian Broadcasting Corporation’s reporter Greg Hoy, Choong studied the ankle for a few minutes and then, while Chandler waited, got on the phone to a company called Commonwealth Scientific and Industrial Research Organisation (CSIRO). “We might be able to put a titanium foot in, ” he said.

Choong explained: “We had to make something that was not too heavy. It sits in a very precarious position that unites a number of joints in the foot. We also had to make sure that it was designed in such a way that we could suture to it some ligaments that exist around the ankle and foot to give it the sort of stability it would need.”

Within a week CSIRO Additive Manufacturing delivered a titanium ankle to Choong who installed it in Chandler’s foot. It was the world-first operation in which a 3-D printer was used to save a man’s cancer-riddled heel.

When Hoy broadcast his story it had been 14 week since the surgery. He reported that Chandler was walking around and both he and Choong were delighted with the results. Choong notes, “Three D printing offers an amazing future for medicine. We have always been frustrated at getting something small enough, fine enough, using what has been a manufacturing process that has remained fairly stable for perhaps the last century or so.”

Choong is getting his wish. Across town from St Vincent’s, at the RMIT MicroNano Research Facility, scientists are using another revolutionary type of 3-D printer to build objects so tiny that they are invisible to the human eye.

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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