ABSTRACT
¼: The blood supply to the talus is vulnerable to damage, making the talus susceptible to osteonecrosis, with limited treatment options. ¼: Talar bone replacement has been investigated as a treatment option to preserve ankle function and maintain limb length. ¼: Successful talar bone replacements have been performed for the past >35 years, with variations in design, methods of fixation, materials, and manufacturing techniques. ¼: The designs of talar prostheses range from custom-made partial (talar body) or total prostheses to prefabricated universal (non-custom-made) prostheses. ¼: Total talar prostheses have been demonstrated to function better than partial talar prostheses; however, there is a need for long-term studies regarding custom-made total talar prostheses and prefabricated universal talar prostheses in order to determine their long-term effectiveness.