The following report describes a case of a 24-year-old female who presented with a traumatic open trimalleolar ankle fracture withsevere distal tibial bone loss. She was submitted to a staged acute Masquelet technique, where the in-hospital 3D printing was utilizedto guide the shaping and sizing of the antibiotic cement spacer and, subsequently, the bone allograft utilized two months later duringtibiotalar fusion. Adequate bony consolidation was achieved at the 7-week follow-up, and the patient was able to bear weight at 12weeks fully. Level of Evidence V; Therapeutic studies; Case Report.
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