Computer assisted pelvic tumor resection and reconstruction with a custom-made prosthesis using an innovative adaptation and its validation.
Computer aided musculoskeletal tumor surgery is a novel concept. Ideally, computer navigation enables the integration of preoperative information concerning tumor extent and regional anatomy to facilitate execution of a surgical resection. Accurate resection helps oncological clearance and facilitates precise fitting of a custom prosthesis. We adapted a commercially available computer navigation platform for spine, and used it to plan and execute pelvic bone resection and custom pelvic prosthetic reconstruction in a patient with a metastatic tumor affecting the acetabulum. The surgery was simulated and validated using a plaster bone model based on the patient's preoperative CT data, before performing the procedure on the patient.
Wong
Kwok-Chuen
KC
Department of Orthopaedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Hong Kong. skcwong@ort.cuhk.edu.hk
Kumta
Shekhar Madhukar
SM
Chiu
Kwok-Hing
KH
Cheung
Kin-Wing
KW
Leung
Kwok-Siu
KS
Unwin
Paul
P
Wong
Martin C M
MC
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000601:surgery*; D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation*; D015203:Reproducibility of Results; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*