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Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases

BACKGROUND AND PURPOSE —: In orthopedic oncology, computer-assisted surgery (CAS) can be considered an alternative to fluoroscopy and direct measurement for orientation, planning, and margin control. However, only small case series reporting specific applications have been published. We therefore de...

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Autores principales: Gerbers, Jasper G, Stevens, Martin, Ploegmakers, Joris JW, Bulstra, Sjoerd K, Jutte, Paul C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259032/
https://www.ncbi.nlm.nih.gov/pubmed/25140984
http://dx.doi.org/10.3109/17453674.2014.950800
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author Gerbers, Jasper G
Stevens, Martin
Ploegmakers, Joris JW
Bulstra, Sjoerd K
Jutte, Paul C
author_facet Gerbers, Jasper G
Stevens, Martin
Ploegmakers, Joris JW
Bulstra, Sjoerd K
Jutte, Paul C
author_sort Gerbers, Jasper G
collection PubMed
description BACKGROUND AND PURPOSE —: In orthopedic oncology, computer-assisted surgery (CAS) can be considered an alternative to fluoroscopy and direct measurement for orientation, planning, and margin control. However, only small case series reporting specific applications have been published. We therefore describe possible applications of CAS and report preliminary results in 130 procedures. PATIENTS AND METHODS —: We conducted a retrospective cohort study of all oncological CAS procedures in a single institution from November 2006 to March 2013. Mean follow-up time was 32 months. We categorized and analyzed 130 procedures for clinical parameters. The categories were image-based intralesional treatment, image-based resection, image-based resection and reconstruction, and imageless resection and reconstruction. RESULTS —: Application to intralesional treatment showed 1 inadequate curettage and 1 (other) recurrence in 63 cases. Image-based resections in 42 cases showed 40 R0 margins; 16 in 17 pelvic resections. Image-based reconstruction facilitated graft creation with a mean reconstruction accuracy of 0.9 mm in one case. Imageless CAS was helpful in resection planning and length- and joint line reconstruction for tumor prostheses. INTERPRETATION —: CAS is a promising new development. Preliminary results show a high number of R0 resections and low short-term recurrence rates for curettage.
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spelling pubmed-42590322015-01-08 Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases Gerbers, Jasper G Stevens, Martin Ploegmakers, Joris JW Bulstra, Sjoerd K Jutte, Paul C Acta Orthop Tumor BACKGROUND AND PURPOSE —: In orthopedic oncology, computer-assisted surgery (CAS) can be considered an alternative to fluoroscopy and direct measurement for orientation, planning, and margin control. However, only small case series reporting specific applications have been published. We therefore describe possible applications of CAS and report preliminary results in 130 procedures. PATIENTS AND METHODS —: We conducted a retrospective cohort study of all oncological CAS procedures in a single institution from November 2006 to March 2013. Mean follow-up time was 32 months. We categorized and analyzed 130 procedures for clinical parameters. The categories were image-based intralesional treatment, image-based resection, image-based resection and reconstruction, and imageless resection and reconstruction. RESULTS —: Application to intralesional treatment showed 1 inadequate curettage and 1 (other) recurrence in 63 cases. Image-based resections in 42 cases showed 40 R0 margins; 16 in 17 pelvic resections. Image-based reconstruction facilitated graft creation with a mean reconstruction accuracy of 0.9 mm in one case. Imageless CAS was helpful in resection planning and length- and joint line reconstruction for tumor prostheses. INTERPRETATION —: CAS is a promising new development. Preliminary results show a high number of R0 resections and low short-term recurrence rates for curettage. Informa Healthcare 2014-12 2014-11-19 /pmc/articles/PMC4259032/ /pubmed/25140984 http://dx.doi.org/10.3109/17453674.2014.950800 Text en Copyright: © Nordic Orthopaedic Federation http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the CC-BY-NC-ND 3.0 License which permits users to download and share the article for non-commercial purposes, so long as the article is reproduced in the whole without changes, and provided the original source is credited.
spellingShingle Tumor
Gerbers, Jasper G
Stevens, Martin
Ploegmakers, Joris JW
Bulstra, Sjoerd K
Jutte, Paul C
Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases
title Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases
title_full Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases
title_fullStr Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases
title_full_unstemmed Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases
title_short Computer-assisted surgery in orthopedic oncology: Technique, indications, and a descriptive study of 130 cases
title_sort computer-assisted surgery in orthopedic oncology: technique, indications, and a descriptive study of 130 cases
topic Tumor
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259032/
https://www.ncbi.nlm.nih.gov/pubmed/25140984
http://dx.doi.org/10.3109/17453674.2014.950800
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