Joint-preserving limb salvage surgery under navigation guidance
Background Recently, the navigation system has been introduced to orthopedic oncology. It can apply MRI and/or CT images to intraoperative visualization. We performed navigation‐assisted limb salvage surgeries on patients with a malignant bone tumor of the metaphysis of the long bone or the iliac bo...
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| Veröffentlicht in: | Journal of surgical oncology 2009-09, Vol.100 (3), p.227-232 |
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| container_title | Journal of surgical oncology |
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| creator | Cho, Hwan Seong Oh, Joo Han Han, Ilkyu Kim, Han-Soo |
| description | Background
Recently, the navigation system has been introduced to orthopedic oncology. It can apply MRI and/or CT images to intraoperative visualization. We performed navigation‐assisted limb salvage surgeries on patients with a malignant bone tumor of the metaphysis of the long bone or the iliac bone while preserving the adjacent joint.
Methods
When preoperative chemotherapy was estimated to be effective by imaging studies and the residual remaining epiphysis was expected to be more than 1 cm long after tumor resection with 1–2 cm of surgical margin, joint‐preserving surgery was performed under navigation guidance. We carried out CT and MRI data fusion to use MR images as an intraoperative guide. A deep frozen strut allograft was placed in the defect for the restoration of anatomical continuity.
Results
Resection margin measured on pathological examination was in accordance with that of the preoperative plan. The functional scores of all patients were satisfactory. There was no evidence of recurrence on the regional radiographs and CT on the chest until the last follow‐up.
Conclusion
Navigation‐assisted surgery can be indicated for limb salvage and it can help to preserve the adjacent joint in selected cases. J. Surg. Oncol. 2009;100:227–232. © 2009 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/jso.21267 |
| format | Article |
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Recently, the navigation system has been introduced to orthopedic oncology. It can apply MRI and/or CT images to intraoperative visualization. We performed navigation‐assisted limb salvage surgeries on patients with a malignant bone tumor of the metaphysis of the long bone or the iliac bone while preserving the adjacent joint.
Methods
When preoperative chemotherapy was estimated to be effective by imaging studies and the residual remaining epiphysis was expected to be more than 1 cm long after tumor resection with 1–2 cm of surgical margin, joint‐preserving surgery was performed under navigation guidance. We carried out CT and MRI data fusion to use MR images as an intraoperative guide. A deep frozen strut allograft was placed in the defect for the restoration of anatomical continuity.
Results
Resection margin measured on pathological examination was in accordance with that of the preoperative plan. The functional scores of all patients were satisfactory. There was no evidence of recurrence on the regional radiographs and CT on the chest until the last follow‐up.
Conclusion
Navigation‐assisted surgery can be indicated for limb salvage and it can help to preserve the adjacent joint in selected cases. J. Surg. Oncol. 2009;100:227–232. © 2009 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.21267</identifier><identifier>PMID: 19330812</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Bone Neoplasms - pathology ; Bone Neoplasms - surgery ; bone tumor ; computer-assisted ; Female ; Femoral Neoplasms - pathology ; Femoral Neoplasms - surgery ; Hip Joint ; Histiocytoma, Malignant Fibrous - pathology ; Histiocytoma, Malignant Fibrous - surgery ; Humans ; Ilium - pathology ; Ilium - surgery ; joint preservation ; Knee Joint ; Limb Salvage - methods ; limb salvage surgery ; Magnetic Resonance Imaging, Interventional ; navigation ; Osteosarcoma - pathology ; Osteosarcoma - surgery ; Radiography, Interventional ; Sarcoma, Ewing - pathology ; Sarcoma, Ewing - surgery ; Surgery, Computer-Assisted</subject><ispartof>Journal of surgical oncology, 2009-09, Vol.100 (3), p.227-232</ispartof><rights>Copyright © 2009 Wiley‐Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4597-46439fd11b639c7e6799b1ced5087f3720215a2087dec97821e5d6b57ba8c9ed3</citedby><cites>FETCH-LOGICAL-c4597-46439fd11b639c7e6799b1ced5087f3720215a2087dec97821e5d6b57ba8c9ed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.21267$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.21267$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19330812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cho, Hwan Seong</creatorcontrib><creatorcontrib>Oh, Joo Han</creatorcontrib><creatorcontrib>Han, Ilkyu</creatorcontrib><creatorcontrib>Kim, Han-Soo</creatorcontrib><title>Joint-preserving limb salvage surgery under navigation guidance</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background
Recently, the navigation system has been introduced to orthopedic oncology. It can apply MRI and/or CT images to intraoperative visualization. We performed navigation‐assisted limb salvage surgeries on patients with a malignant bone tumor of the metaphysis of the long bone or the iliac bone while preserving the adjacent joint.
Methods
When preoperative chemotherapy was estimated to be effective by imaging studies and the residual remaining epiphysis was expected to be more than 1 cm long after tumor resection with 1–2 cm of surgical margin, joint‐preserving surgery was performed under navigation guidance. We carried out CT and MRI data fusion to use MR images as an intraoperative guide. A deep frozen strut allograft was placed in the defect for the restoration of anatomical continuity.
Results
Resection margin measured on pathological examination was in accordance with that of the preoperative plan. The functional scores of all patients were satisfactory. There was no evidence of recurrence on the regional radiographs and CT on the chest until the last follow‐up.
Conclusion
Navigation‐assisted surgery can be indicated for limb salvage and it can help to preserve the adjacent joint in selected cases. J. Surg. Oncol. 2009;100:227–232. © 2009 Wiley‐Liss, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bone Neoplasms - pathology</subject><subject>Bone Neoplasms - surgery</subject><subject>bone tumor</subject><subject>computer-assisted</subject><subject>Female</subject><subject>Femoral Neoplasms - pathology</subject><subject>Femoral Neoplasms - surgery</subject><subject>Hip Joint</subject><subject>Histiocytoma, Malignant Fibrous - pathology</subject><subject>Histiocytoma, Malignant Fibrous - surgery</subject><subject>Humans</subject><subject>Ilium - pathology</subject><subject>Ilium - surgery</subject><subject>joint preservation</subject><subject>Knee Joint</subject><subject>Limb Salvage - methods</subject><subject>limb salvage surgery</subject><subject>Magnetic Resonance Imaging, Interventional</subject><subject>navigation</subject><subject>Osteosarcoma - pathology</subject><subject>Osteosarcoma - surgery</subject><subject>Radiography, Interventional</subject><subject>Sarcoma, Ewing - pathology</subject><subject>Sarcoma, Ewing - surgery</subject><subject>Surgery, Computer-Assisted</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwkAQhjdGI4ge_AOmJ42H4n60u92TMURRQiQRDMfNth2axdLiLkX5966CetLTZDLPPJl5EToluEswpldzV3cpoVzsoTbBkocSy2Qftf2MhpGQuIWOnJtjjKXk0SFqEckYTghto-tBbapVuLTgwK5NVQSlWaSB0-VaFxC4xhZgN0FT5WCDSq9NoVemroKiMbmuMjhGBzNdOjjZ1Q56vrud9O7D4aj_0LsZhlkUSxFGPGJylhOSciYzAVxImZIM8hgnYsYExZTEmvomh0yKhBKIc57GItVJJiFnHXSx9S5t_dqAW6mFcRmUpa6gbpwScZT4Rznz5Pm_JBexYBGXHrzcgpmtnbMwU0trFtpuFMHqM1flc1VfuXr2bCdt0gXkv-QuSA9cbYE3U8Lmb5MajEffynC7YdwK3n82tH3xJzIRq-ljX9HJ00ROx0OF2QcTNJCB</recordid><startdate>20090901</startdate><enddate>20090901</enddate><creator>Cho, Hwan Seong</creator><creator>Oh, Joo Han</creator><creator>Han, Ilkyu</creator><creator>Kim, Han-Soo</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20090901</creationdate><title>Joint-preserving limb salvage surgery under navigation guidance</title><author>Cho, Hwan Seong ; Oh, Joo Han ; Han, Ilkyu ; Kim, Han-Soo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4597-46439fd11b639c7e6799b1ced5087f3720215a2087dec97821e5d6b57ba8c9ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bone Neoplasms - pathology</topic><topic>Bone Neoplasms - surgery</topic><topic>bone tumor</topic><topic>computer-assisted</topic><topic>Female</topic><topic>Femoral Neoplasms - pathology</topic><topic>Femoral Neoplasms - surgery</topic><topic>Hip Joint</topic><topic>Histiocytoma, Malignant Fibrous - pathology</topic><topic>Histiocytoma, Malignant Fibrous - surgery</topic><topic>Humans</topic><topic>Ilium - pathology</topic><topic>Ilium - surgery</topic><topic>joint preservation</topic><topic>Knee Joint</topic><topic>Limb Salvage - methods</topic><topic>limb salvage surgery</topic><topic>Magnetic Resonance Imaging, Interventional</topic><topic>navigation</topic><topic>Osteosarcoma - pathology</topic><topic>Osteosarcoma - surgery</topic><topic>Radiography, Interventional</topic><topic>Sarcoma, Ewing - pathology</topic><topic>Sarcoma, Ewing - surgery</topic><topic>Surgery, Computer-Assisted</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cho, Hwan Seong</creatorcontrib><creatorcontrib>Oh, Joo Han</creatorcontrib><creatorcontrib>Han, Ilkyu</creatorcontrib><creatorcontrib>Kim, Han-Soo</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cho, Hwan Seong</au><au>Oh, Joo Han</au><au>Han, Ilkyu</au><au>Kim, Han-Soo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Joint-preserving limb salvage surgery under navigation guidance</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>2009-09-01</date><risdate>2009</risdate><volume>100</volume><issue>3</issue><spage>227</spage><epage>232</epage><pages>227-232</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background
Recently, the navigation system has been introduced to orthopedic oncology. It can apply MRI and/or CT images to intraoperative visualization. We performed navigation‐assisted limb salvage surgeries on patients with a malignant bone tumor of the metaphysis of the long bone or the iliac bone while preserving the adjacent joint.
Methods
When preoperative chemotherapy was estimated to be effective by imaging studies and the residual remaining epiphysis was expected to be more than 1 cm long after tumor resection with 1–2 cm of surgical margin, joint‐preserving surgery was performed under navigation guidance. We carried out CT and MRI data fusion to use MR images as an intraoperative guide. A deep frozen strut allograft was placed in the defect for the restoration of anatomical continuity.
Results
Resection margin measured on pathological examination was in accordance with that of the preoperative plan. The functional scores of all patients were satisfactory. There was no evidence of recurrence on the regional radiographs and CT on the chest until the last follow‐up.
Conclusion
Navigation‐assisted surgery can be indicated for limb salvage and it can help to preserve the adjacent joint in selected cases. J. Surg. Oncol. 2009;100:227–232. © 2009 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19330812</pmid><doi>10.1002/jso.21267</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Bone Neoplasms - pathology Bone Neoplasms - surgery bone tumor computer-assisted Female Femoral Neoplasms - pathology Femoral Neoplasms - surgery Hip Joint Histiocytoma, Malignant Fibrous - pathology Histiocytoma, Malignant Fibrous - surgery Humans Ilium - pathology Ilium - surgery joint preservation Knee Joint Limb Salvage - methods limb salvage surgery Magnetic Resonance Imaging, Interventional navigation Osteosarcoma - pathology Osteosarcoma - surgery Radiography, Interventional Sarcoma, Ewing - pathology Sarcoma, Ewing - surgery Surgery, Computer-Assisted |
| title | Joint-preserving limb salvage surgery under navigation guidance |
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