Broward Health Orthopaedic Department, Broward Health Medical Center, Fort Lauderdale, Florida.
Orthopaedic Surgery and Rheumatology Center, Cleveland Clinic, Weston, Florida.
JBJS Case Connect. 2021 Nov 11;11(4):01709767-202112000-00052. doi: e20.00908.
A 76-year-old man presented with metastatic renal cell carcinoma (RCC) in the right acetabulum with pelvic compromise. The patient had right hip pain and difficulty with ambulation, as such he elected to undergo tumor resection with subsequent reconstruction of pelvic defect. Given the size and location of the anticipated pelvic defect, robotic-assisted hip arthroplasty was used to execute prosthetic component placement and anatomic pelvic reconstruction.
Advances in technology, such as robotics and 3D navigation, have application in orthopaedic oncology surgery, especially for reconstructions after pelvic resections. The goal of this case report is to describe the utility of this technology in a case of metastatic RCC.
一名 76 岁男性因右侧髋臼转移性肾细胞癌(RCC)伴骨盆受累而就诊。患者右侧髋部疼痛,行走困难,因此选择进行肿瘤切除,随后重建骨盆缺损。鉴于预期的骨盆缺损的大小和位置,使用机器人辅助髋关节置换术来执行假体部件放置和解剖骨盆重建。
技术进步,如机器人技术和 3D 导航,在骨科肿瘤手术中有应用,特别是在骨盆切除术后的重建中。本病例报告的目的是描述该技术在转移性 RCC 病例中的应用。