• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

计算机导航下骨盆骨肿瘤切除及大块同种异体骨移植重建中的骨切割

Computer-Navigated Bone Cutting in the Resection of a Pelvic Bone Tumor and Reconstruction with a Massive Bone Allograft.

作者信息

Docquier Pierre-Louis, Cartiaux Olivier, Paul Laurent, Delloye Christian, Banse Xavier

机构信息

Université Catholique de Louvain, Center for Research in Computer Assisted and Robotic Surgery, Institute of Experimental and Clinical Research, 53 Avenue Mounier (Tour Pasteur +4), B-1200 Brussels, Belgium.

Department of Mechanical Engineering, Ecole Polytechnique de Montréal, P.O. Box 6079, Station Centre-ville, Montreal, QC H3C3A7, Canada. E-mail address:

出版信息

JBJS Essent Surg Tech. 2011 Aug 24;1(2):e10. doi: 10.2106/JBJS.ST.K.00013. eCollection 2011 Jul-Sep.

DOI:10.2106/JBJS.ST.K.00013
PMID:34377587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8343975/
Abstract

INTRODUCTION

We present here a surgical technique using a navigation system and an oscillating saw for the resection of a pelvic bone tumor combined with an allograft reconstruction.

STEP 1 PREOPERATIVE PLANNING: The surgeon and radiologist together delineate the tumor on each magnetic resonance imaging (MRI) slice; then the surgeon defines target planes for tumor resection and transfers them to the allograft.

STEP 2 PATIENT POSITIONING AND SURGICAL EXPOSURE: With the patient in the lateral decubitus position, combine ilioinguinal with iliocrural and obturator surgical approaches to expose the ilium.

STEP 3 NAVIGATED TUMOR RESECTION: Perform the osteotomies using the navigation system to guide the saw blade, following predefined target planes; perform a biopsy.

STEP 4 NAVIGATED ALLOGRAFT CUTTING: Perform the osteotomies using the navigating saw, following the same target planes as used for the tumor resection.

STEP 5 PELVIC RECONSTRUCTION: Fix the graft and cement a femoral stem in place; then reinsert all detached tendons and elevated muscles.

RESULTS & PREOP/POSTOP IMAGES: This technique is based on preliminary work that has not been presented in a peer-reviewed case series publication.

WHAT TO WATCH FOR

IndicationsContraindicationsPitfalls & Challenges.

摘要

引言

我们在此介绍一种使用导航系统和摆动锯切除骨盆骨肿瘤并结合同种异体骨重建的手术技术。

步骤1术前规划：外科医生和放射科医生共同在每个磁共振成像（MRI）切片上勾勒出肿瘤；然后外科医生确定肿瘤切除的目标平面并将其转移到同种异体骨上。

步骤2患者体位与手术显露：患者取侧卧位，联合髂腹股沟、髂股和闭孔手术入路显露髂骨。

步骤3导航下肿瘤切除：使用导航系统引导锯片，按照预先确定的目标平面进行截骨；进行活检。

步骤4导航下同种异体骨切割：使用导航锯，按照与肿瘤切除相同的目标平面进行截骨。

步骤5骨盆重建：固定移植物并将股骨柄用骨水泥固定到位；然后重新缝合所有离断的肌腱和掀起的肌肉。

结果与术前/术后影像：该技术基于尚未在同行评审的病例系列出版物中发表的初步工作。

注意事项

适应证、禁忌证、陷阱与挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/6a68d25545fc/jxt-1-e10-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/8beb4107a8d9/jxt-1-e10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/c2b2cf95aeda/jxt-1-e10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/266037f3106e/jxt-1-e10-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/5954b1f1cf0d/jxt-1-e10-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/8a7d2948ae79/jxt-1-e10-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/b7df5c8a8bd7/jxt-1-e10-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/6a68d25545fc/jxt-1-e10-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/8beb4107a8d9/jxt-1-e10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/c2b2cf95aeda/jxt-1-e10-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/266037f3106e/jxt-1-e10-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/5954b1f1cf0d/jxt-1-e10-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/8a7d2948ae79/jxt-1-e10-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/b7df5c8a8bd7/jxt-1-e10-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6980/8343975/6a68d25545fc/jxt-1-e10-g007.jpg

相似文献

1
Computer-Navigated Bone Cutting in the Resection of a Pelvic Bone Tumor and Reconstruction with a Massive Bone Allograft.计算机导航下骨盆骨肿瘤切除及大块同种异体骨移植重建中的骨切割
JBJS Essent Surg Tech. 2011 Aug 24;1(2):e10. doi: 10.2106/JBJS.ST.K.00013. eCollection 2011 Jul-Sep.
2
Computer-assisted resection and reconstruction of pelvic tumor sarcoma.计算机辅助盆腔肿瘤肉瘤的切除与重建
Sarcoma. 2010;2010:125162. doi: 10.1155/2010/125162. Epub 2010 Nov 28.
3
Navigated pelvic osteotomy and tumor resection: a study assessing the accuracy and reproducibility of resection planes in Sawbones and cadavers.导航下骨盆截骨术与肿瘤切除术：一项评估Sawbones模型和尸体中截骨平面准确性及可重复性的研究
J Bone Joint Surg Am. 2015 Jan 7;97(1):40-6. doi: 10.2106/JBJS.N.00276.
4
Virtual Planning and Allograft Preparation Guided by Navigation for Reconstructive Oncologic Surgery: A Technical Report.导航引导下的重建肿瘤手术虚拟规划与同种异体移植物制备：技术报告
JBJS Essent Surg Tech. 2017 Oct 11;7(4):e30. doi: 10.2106/JBJS.ST.17.00001. eCollection 2017 Dec 28.
5
Computer-assisted planning and navigation improves cutting accuracy during simulated bone tumor surgery of the pelvis.计算机辅助规划与导航可提高骨盆模拟骨肿瘤手术中的切割精度。
Comput Aided Surg. 2013;18(1-2):19-26. doi: 10.3109/10929088.2012.744096. Epub 2012 Nov 26.
6
Computer-Assisted Planning and Patient-Specific Instruments for Bone Tumor Resection within the Pelvis: A Series of 11 Patients.骨盆内骨肿瘤切除的计算机辅助规划与个性化器械：11例患者系列研究
Sarcoma. 2014;2014:842709. doi: 10.1155/2014/842709. Epub 2014 Jul 2.
7
The use of imageless navigation to quantify cutting error in total knee arthroplasty.使用无图像导航技术量化全膝关节置换术中的截骨误差。
Knee Surg Relat Res. 2021 Dec 4;33(1):43. doi: 10.1186/s43019-021-00125-z.
8
Improved accuracy with 3D planning and patient-specific instruments during simulated pelvic bone tumor surgery.在模拟骨盆骨肿瘤手术中，3D 规划和患者专用器械提高了准确性。
Ann Biomed Eng. 2014 Jan;42(1):205-13. doi: 10.1007/s10439-013-0890-7. Epub 2013 Aug 21.
9
A surgical navigated cutting guide for mandibular osteotomies: accuracy and reproducibility of an image-guided mandibular osteotomy.一种用于下颌骨切开术的手术导航切割引导器：图像引导下颌骨切开术的准确性和可重复性。
Int J Comput Assist Radiol Surg. 2020 Oct;15(10):1719-1725. doi: 10.1007/s11548-020-02234-8. Epub 2020 Jul 28.
10
Joint-preserving tumour resection around the knee with allograft reconstruction using three-dimensional preoperative planning and patient-specific instruments.使用三维术前规划和定制器械进行同种异体移植重建，在膝关节周围进行保关节肿瘤切除术。
Knee. 2019 Jun;26(3):787-793. doi: 10.1016/j.knee.2019.02.015. Epub 2019 Mar 16.

本文引用的文献

1
Computer-assisted resection and reconstruction of pelvic tumor sarcoma.计算机辅助盆腔肿瘤肉瘤的切除与重建
Sarcoma. 2010;2010:125162. doi: 10.1155/2010/125162. Epub 2010 Nov 28.
2
Selection of massive bone allografts using shape-matching 3-dimensional registration.采用形状匹配三维配准选择大块同种异体骨移植
Acta Orthop. 2010 Apr;81(2):250-5. doi: 10.3109/17453671003587127.
3
Computer-assisted pelvic tumor resection: fields of application, limits, and perspectives.
Recent Results Cancer Res. 2009;179:169-82. doi: 10.1007/978-3-540-77960-5_11.
4
Image fusion for computer-assisted bone tumor surgery.用于计算机辅助骨肿瘤手术的图像融合
Clin Orthop Relat Res. 2008 Oct;466(10):2533-41. doi: 10.1007/s11999-008-0374-5. Epub 2008 Jul 22.
5
Computer-assisted sacral tumor resection. A case report.计算机辅助骶骨肿瘤切除术。病例报告。
J Bone Joint Surg Am. 2008 Jul;90(7):1561-6. doi: 10.2106/JBJS.G.00928.
6
Computer assisted pelvic tumor resection and reconstruction with a custom-made prosthesis using an innovative adaptation and its validation.使用创新适配方法定制假体的计算机辅助骨盆肿瘤切除与重建及其验证。
Comput Aided Surg. 2007 Jul;12(4):225-32. doi: 10.3109/10929080701536046.
7
Minimally invasive total knee arthroplasty surgery through navigated freehand bone cutting: winner of the 2005 "HAP" PAUL AWARD.通过徒手导航截骨进行的微创全膝关节置换手术：2005年“HAP”保罗奖得主。
J Arthroplasty. 2007 Jun;22(4):535-42. doi: 10.1016/j.arth.2007.01.010.
8
Bone allografts: What they can offer and what they cannot.骨移植：它们能提供什么以及不能提供什么。
J Bone Joint Surg Br. 2007 May;89(5):574-9. doi: 10.1302/0301-620X.89B5.19039.
9
Pelvic reconstruction with a structural pelvic allograft after resection of a malignant bone tumor.恶性骨肿瘤切除术后采用结构性同种异体骨盆移植进行骨盆重建。
J Bone Joint Surg Am. 2007 Mar;89(3):579-87. doi: 10.2106/JBJS.E.00943.
10
Navigated Iso-C3D-based percutaneous osteoid osteoma resection: a preliminary clinical report.基于导航式Iso-C 3D的经皮骨样骨瘤切除术：初步临床报告。
Comput Aided Surg. 2005 May;10(3):157-63. doi: 10.3109/10929080500229868.