Department of Surgery, Division of Orthopaedic Surgery, Health Sciences North, Northern Ontario School of Medicine, 2120 Regent Street South, Unit 2, Sudbury, ON, Canada, P3E3Z9,
Curr Rev Musculoskelet Med. 2012 Jun;5(2):83-90. doi: 10.1007/s12178-012-9124-0.
The treatment of benign and malignant primary bone tumors has progressed over time from relatively simple practice to complex resection and reconstruction techniques. Recently, computer-assisted orthopaedic surgery (CAOS) has been used to assist surgeons to enhance surgical precision in order to achieve these goals. Initially, software developed for CT-based spinal applications was used to perform simple intraoperative point localization. With advances in technique and software design, oncology surgeons have now performed joint sparing complex multiplanar osteotomies using combined CT and MRI image data with precision and accuracy. The purpose of this paper is to provide a review of the clinical progress to date, the different types of navigation available, methods for error management, and limitations of CAOS in the treatment of pediatric benign and malignant primary bone tumors.
随着时间的推移，良性和恶性原发性骨肿瘤的治疗已经从相对简单的实践发展到复杂的切除和重建技术。最近，计算机辅助骨科手术（CAOS）已被用于辅助外科医生提高手术精度，以实现这些目标。最初，为基于 CT 的脊柱应用开发的软件用于执行简单的术中点定位。随着技术和软件设计的进步，肿瘤外科医生现在已经使用结合 CT 和 MRI 图像数据的联合技术进行了关节保存复杂的多平面截骨术，具有精确性和准确性。本文的目的是回顾迄今为止的临床进展、可用的导航类型、误差管理方法以及 CAOS 在儿童良性和恶性原发性骨肿瘤治疗中的局限性。
