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3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note
BACKGROUND: Surgical resection and reconstruction for low-grade bone sarcoma in the metaphysis of the distal femur remain challenging. We hypothesized that 3D printing osteotomy guide plate could assist to accurately resect the tumor lesion and save the joint function. METHODS: From January 2017 to...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161929/ https://www.ncbi.nlm.nih.gov/pubmed/34049580 http://dx.doi.org/10.1186/s13018-021-02374-w |
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author | Wu, Hongwei Yang, Shuo Liu, Jianfan Li, Linqin Luo, Yi Dai, Zixun Wang, Xin Yao, Xinyu Zhou, Feng Li, Xian’an |
author_facet | Wu, Hongwei Yang, Shuo Liu, Jianfan Li, Linqin Luo, Yi Dai, Zixun Wang, Xin Yao, Xinyu Zhou, Feng Li, Xian’an |
author_sort | Wu, Hongwei |
collection | PubMed |
description | BACKGROUND: Surgical resection and reconstruction for low-grade bone sarcoma in the metaphysis of the distal femur remain challenging. We hypothesized that 3D printing osteotomy guide plate could assist to accurately resect the tumor lesion and save the joint function. METHODS: From January 2017 to August 2019, five patients diagnosed with low-grade bone sarcoma in the metaphysis of the distal femur were treated with hemicortical resection using 3D printing guide plate. Autologous bone graft was inactivated in a high-temperature water bath and re-implanted in situ fixed with plate and screw. Patients were followed up from 17 to 33 months. The Musculoskeletal Tumor Society Score was used to evaluate the joint function. X-ray was used to evaluate the bone union. RESULTS: One patient was paracorticular osteosarcoma, and four cases had highly differentiated chondrosarcoma. All cases were involved in the metaphysis of the distal femur. Patients were followed up from 13 to 33 months, with an average of 23.6 months. There was neither post-operation infection, internal fixation loosening, nor fracture occurrence in any of the patients. The Musculoskeletal Tumor Society Score averaged at 28.1, while the International Society of Limb Salvage imaging score examination averaged 89.8%. CONCLUSIONS: Here, we demonstrate that the 3D printing osteotomy guide plate-assisted hemicortical bone resection is a beneficial strategy to effectively resect the primary low-grade malignant bone tumors in the metaphysis of the distal femur and retained satisfied joint function. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13018-021-02374-w. |
format | Online Article Text |
id | pubmed-8161929 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81619292021-06-01 3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note Wu, Hongwei Yang, Shuo Liu, Jianfan Li, Linqin Luo, Yi Dai, Zixun Wang, Xin Yao, Xinyu Zhou, Feng Li, Xian’an J Orthop Surg Res Technical Note BACKGROUND: Surgical resection and reconstruction for low-grade bone sarcoma in the metaphysis of the distal femur remain challenging. We hypothesized that 3D printing osteotomy guide plate could assist to accurately resect the tumor lesion and save the joint function. METHODS: From January 2017 to August 2019, five patients diagnosed with low-grade bone sarcoma in the metaphysis of the distal femur were treated with hemicortical resection using 3D printing guide plate. Autologous bone graft was inactivated in a high-temperature water bath and re-implanted in situ fixed with plate and screw. Patients were followed up from 17 to 33 months. The Musculoskeletal Tumor Society Score was used to evaluate the joint function. X-ray was used to evaluate the bone union. RESULTS: One patient was paracorticular osteosarcoma, and four cases had highly differentiated chondrosarcoma. All cases were involved in the metaphysis of the distal femur. Patients were followed up from 13 to 33 months, with an average of 23.6 months. There was neither post-operation infection, internal fixation loosening, nor fracture occurrence in any of the patients. The Musculoskeletal Tumor Society Score averaged at 28.1, while the International Society of Limb Salvage imaging score examination averaged 89.8%. CONCLUSIONS: Here, we demonstrate that the 3D printing osteotomy guide plate-assisted hemicortical bone resection is a beneficial strategy to effectively resect the primary low-grade malignant bone tumors in the metaphysis of the distal femur and retained satisfied joint function. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13018-021-02374-w. BioMed Central 2021-05-28 /pmc/articles/PMC8161929/ /pubmed/34049580 http://dx.doi.org/10.1186/s13018-021-02374-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Technical Note Wu, Hongwei Yang, Shuo Liu, Jianfan Li, Linqin Luo, Yi Dai, Zixun Wang, Xin Yao, Xinyu Zhou, Feng Li, Xian’an 3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note |
title | 3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note |
title_full | 3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note |
title_fullStr | 3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note |
title_full_unstemmed | 3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note |
title_short | 3D printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note |
title_sort | 3d printing guide plate for accurate hemicortical bone tumor resection in metaphysis of distal femoral: a technical note |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161929/ https://www.ncbi.nlm.nih.gov/pubmed/34049580 http://dx.doi.org/10.1186/s13018-021-02374-w |
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