Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
3D Printing Assisted
3D-Printed Medial Malleolus Reconstruction
A near-lost medial malleolus from a compound road accident, salvaged with a custom 3D-printed implant and hamstring graft reconstruction instead of fusion or lifelong bracing.
Patient Age
21 Years
MECHANISM
Road traffic accident
PRESENTATION
Compound Injury with Bone Loss
APPROACH
3D-Printed Implant with Hamstring Graft Reconstruction
01
Clinical Rationale
The options were fusion, a lifelong brace, or salvage. A custom implant was printed with a tunnel designed into it for a hamstring graft, anchored in the talus and sustentaculum tali — reconstructing both bone and ligament in one design.
02
Surgical Approach
The ankle was salvaged using a custom 3D-printed medial malleolus with a tunnel designed for passage of a hamstring graft. Two limbs of the graft were anchored — one in the talus, one in the sustentaculum tali — to reconstruct stability.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
3D printing is the modality to rescue the surgeon in bone-loss cases.
#2
Precise planning and designing of the implant is critical to success.
#3
Salvage with a custom implant avoids both fusion and a lifelong brace.
#4
A designed graft tunnel allows ligament reconstruction through the printed implant.
04
Clinical Care Points
RIGHT SIDE
- i) 3D-printed medial malleolus implant
ii) Tunnel for hamstring graft passage
iii) Graft anchored in talus + sustentaculum tali
iv) Ankle salvaged, fusion avoided
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
3D-Printed Medial Malleolus Reconstruction
A near-lost medial malleolus from a compound road accident, salvaged with a custom 3D-printed implant and hamstring graft reconstruction instead of fusion or lifelong bracing.
A 21-year-old man sustained a severe open ankle injury in a road-traffic accident, requiring vascular repair and leaving most of the medial malleolus missing. The resulting ankle was painful and unstable because both bone and the medial ligament attachment had been lost. Fusion and permanent bracing were considered, but a custom reconstruction offered a chance to preserve the joint.
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