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The value of computer-assisted navigation for bone reconstruction after tumor resection

  • Authors:
    • Xuejun Peng
    • Fengping Wang
    • Jing Su
  • View Affiliations / Copyright

    Affiliations: Department of Traumatology, Linyi People's Hospital, Linyi, Shandong 276000, P.R. China, Department of Ultrasound, Linyi People's Hospital, Linyi, Shandong 276000, P.R. China, Community Health Center of Yinque Mountain, Linyi, Shandong 276003, P.R. China
    Copyright: © Peng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 2771-2774
    |
    Published online on: July 5, 2017
       https://doi.org/10.3892/ol.2017.6523
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Abstract

This study was designed to evaluate the use of computer-assisted navigation with computed tomography (CT) images for bone reconstruction after resection in malignant bone tumor treatment. Forty-five patients with malignant bone tumors were recruited for this study. CT scan images in a computer-assisted navigation system were used to assist during the osteotomy, the pairing with allografts, and the monitoring of the allograft and joint lines to perform joint reconstruction. Our results show that osteotomy and allograft pairing were successful in all patients. The average duration of the osteotomy procedures was 46.8±12.3 min; and the average pairing time was 32.5±9.8 min. The anatomical registration points and the three-dimensional virtual CT images were successfully matched. The average error of registration was 0.36±0.09 mm. Also, the range of tumor resection and allograft osteotomy were successfully paired, with an average error of 0.11±0.03 mm. No complications such as unequal limbs length or joint deformities occurred after reconstruction. The average follow-up time was 11.6±3.9 months. The tumor recurrence rate was 11.1% (5/45) and the survival rate 95.6% (43/45). The average healing time for the allograft and host bone was 5.5±1.2 months and no unexpected internal fixations, fractures or joint collapses occurred. The average knee joint functionality MSTS score was 25.5±6.6 points. No significant differences were found in the length of tumor resection, rate of negative incision margin, duration of osteotomy or of pairing, registration error or allogeneic bone and defect matching error averages between those patients with tumor recurrence and those without it (p>0.05). Based on our results, the computer-assisted navigation system for bone reconstruction after malignant tumor resection allows for high precision during osteotomy, delivers a high success rate of pairing, results in great limb function and low complication rates, and is thus a highly successful and safe approach benefiting bone cancer patients.
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Copy and paste a formatted citation
Spandidos Publications style
Peng X, Wang F and Su J: The value of computer-assisted navigation for bone reconstruction after tumor resection. Oncol Lett 14: 2771-2774, 2017.
APA
Peng, X., Wang, F., & Su, J. (2017). The value of computer-assisted navigation for bone reconstruction after tumor resection. Oncology Letters, 14, 2771-2774. https://doi.org/10.3892/ol.2017.6523
MLA
Peng, X., Wang, F., Su, J."The value of computer-assisted navigation for bone reconstruction after tumor resection". Oncology Letters 14.3 (2017): 2771-2774.
Chicago
Peng, X., Wang, F., Su, J."The value of computer-assisted navigation for bone reconstruction after tumor resection". Oncology Letters 14, no. 3 (2017): 2771-2774. https://doi.org/10.3892/ol.2017.6523
Copy and paste a formatted citation
x
Spandidos Publications style
Peng X, Wang F and Su J: The value of computer-assisted navigation for bone reconstruction after tumor resection. Oncol Lett 14: 2771-2774, 2017.
APA
Peng, X., Wang, F., & Su, J. (2017). The value of computer-assisted navigation for bone reconstruction after tumor resection. Oncology Letters, 14, 2771-2774. https://doi.org/10.3892/ol.2017.6523
MLA
Peng, X., Wang, F., Su, J."The value of computer-assisted navigation for bone reconstruction after tumor resection". Oncology Letters 14.3 (2017): 2771-2774.
Chicago
Peng, X., Wang, F., Su, J."The value of computer-assisted navigation for bone reconstruction after tumor resection". Oncology Letters 14, no. 3 (2017): 2771-2774. https://doi.org/10.3892/ol.2017.6523
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