The application of 3D-printing technology in pelvic bone tumor surgery

Park, Jong Woong; Kang, Hyun Guy; Kim, June Hyuk; Kim, Han‐Soo

doi:10.1016/j.jos.2020.03.004

Cited by 44 publications

(54 citation statements)

References 19 publications

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“…In our series, pathological margins were negative after bone tumor resection. According to previous studies, the mean operative duration and intraoperative blood loss ranged from 258-445 min and 2206-6210 ml, respectively [7,11,19,21,22,32,36]. In the current study, the mean operative duration and intraoperative blood loss were reduced to 333 min and 1416 ml, respectively.…”

Section: Discussionsupporting

confidence: 48%

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3D-printed Prostheses Assisted by Osteotomy Guide Plates for Reconstruction Following Periacetabular Tumor Resection via Two Approaches

Zhao

Zhang

Deng

et al. 2021

Preprint

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Background: Prosthetic reconstruction after periacetabular tumor resection likely yield good function. However, complications with this technique are common. Therefore, alternative prosthetic design and surgical technique warrant study. Methods: Six patients were retrospectively reviewed with malignant periacetabular tumors who received reconstruction using 3D-printed prostheses assisted by osteotomy guide plates via two approaches between July 2017 and June 2020. The surgical data, including operative duration and intraoperative blood loss were recorded. Preoperative and postoperative pain at rest was examined using the visual analog scale (VAS). The postoperative functional outcomes were evaluated using the Musculoskeletal Tumor Society (MSTS) scoring system, and the postoperative complications were analyzed.Results: The mean follow-up was 19 months (range, 3-36 months). The mean intraoperative blood loss was 1416 ml (range, 600-2000 ml), and the mean operative duration was 333 min (range, 300-370 min). Satisfactory surgical margins were achieved in all patients. Six patients complained of severe pain preoperatively (VAS score, mean, 6; range, 4-8) and described significant alleviation of pain at 4 weeks postoperatively (VAS score, mean, 2; range, 0-5). At the 12 weeks after surgery, the mean MSTS score was 15.6 (range, 5-27). Local recurrence occurred in one patient at 3 months after surgery.Conclusions: The 3D-printed prosthesis represents a potential alternative for reconstruction after malignant periacetabular tumor resection. The design of the two approaches and the use of osteotomy guide plates can yield good functional results, as well as low rate of complications.Trial registration: This study has been granted an exemption from requiring ethics approval by the ethics committee of Tianjin Hospital.

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Section: Discussionsupporting

confidence: 48%

“…Wide en bloc resection is a standard treatment for malignant periacetabular tumor. Once pelvic integrity is disrupted, it often results in fecal/urinary incontinence, prolapse and hernia [5][6][7]. Thus, bone defect reconstruction after tumor resection is critical for patients with malignant pelvic tumors.…”

Section: Introductionmentioning

confidence: 99%

3D-printed Prostheses Assisted by Osteotomy Guide Plates for Reconstruction Following Periacetabular Tumor Resection via Two Approaches

Zhao

Zhang

Deng

et al. 2021

Preprint

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“…Computer-assisted three-dimensional preoperative planning for elective orthopedic cases was performed in spinal disorders [27,28], sports medicine [29], adult reconstruction [30,31], foot and ankle surgery [32,33], pediatric orthopedics [34,35], and orthopedic oncology [36,37].…”

Section: Elective Orthopedic Surgerymentioning

confidence: 99%

“…Three-dimensional printing technology provides an advanced approach to pelvic bone tumor resection and reconstruction. Park et al [37] performed malignant pelvic bone tumor surgeries for 12 patients using bone cutting guides and 3D printed implants. It was performed a type I internal hemipelvectomy by using 3D printed bone cutting guides that underwent bone tumor resection in the ileum cavitary, and type I, II, and III pelvic resections by using 3D printed cutting guides and reconstruction with 3D printed implants.…”

Section: Elective Orthopedic Surgerymentioning

confidence: 99%

Three-dimensional technologies used for patient specific applications in orthopedics

Moldovan

Bățagă

2021

Acta Marisiensis - Seria Medica

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Background: Three-dimensional (3D) technologies have numerous medical applications and have gained a lot of interest in medical world. After the advent of three-dimensional printing technology, and especially in last decade, orthopedic surgeons began to apply this innovative technology in almost all areas of orthopedic traumatic surgery. Objective: The aim of this paper is to give an overview of 3D technologies current usage in orthopedic surgery for patient specific applications. Methods: Two major databases PubMed and Web of Science were explored for content description and applications of 3D technologies in orthopedic surgery. It was considered papers presenting controlled studies and series of cases that include descriptions of 3D technologies compatible with applications to human medical purposes. Results: First it is presented the available three-dimensional technologies that can be used in orthopedic surgery as well as methods of integration in order to achieve the desired medical application for patient specific orthopedics. Technology starts with medical images acquisition, followed by design, numerical simulation, and printing. Then it is described the state of the art clinical applications of 3D technologies in orthopedics, by selecting the latest reported articles in medical literature. It is focused on preoperative visualization and planning, trauma, injuries, elective orthopedic surgery, guides and customized surgical instrumentation, implants, orthopedic fixators, orthoses and prostheses. Conclusion: The new 3D digital technologies are revolutionizing orthopedic clinical practices. The vast potential of 3D technologies is increasingly used in clinical practice. These technologies provide useful tools for clinical environment: accurate preoperative planning for cases of complex trauma and elective cases, personalized surgical instruments and personalized implants. There is a need to further explore the vast potential of 3D technologies in many other areas of orthopedics and to accommodate healthcare professionals with these technologies, as well as to study their effectiveness compared to conventional methods.

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“…For instance, in establishing tumor models in vitro to help doctors understand tumor shapes and the adjacent tissues from multiple perspectives, and also identify lesion locations and surgical risks. Additionally, the technology has been applied in 3D printing implants through in vivo studies to assist in determining surgical boundaries [19][20][21] . In this respect, currently, there are few studies on the application of a 3D printed osteotomy guide plate for accurate hemiexcision 22 .…”

Section: Introductionmentioning

confidence: 99%

3D Printing Guide Plate for Accurate Hemicortical Bone Resection in Low-Grade Bone Sarcoma

Wu¹,

Li²,

Yang³

et al. 2020

Preprint

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Background: Surgical resection and reconstruction for low grade bone sarcoma in the metaphysis of the long bone remains challenging. We hypothesize that 3D printing osteotomy guide plate could assist to accurately resect the tumor lesion and save the joint function without higher recurrence rate. Methods: From January 2017 to August 2019, ten patients with low-grade malignant bone tumor in metaphysis of the limbs were treated with hemicortical resection using 3D printing guide plate and biological reconstruction. Results: Four patients were paracorticular osteosarcoma, five cases had highly differentiated chondrosarcoma, and one case was a chondromyxoid fibroma. Two of the cases involved the proximal humerus, while eight cases involved the distal femur. There was neither post-operation infection, internal fixation loosening, nor fracture occurrence in any of the patients. The Musculoskeletal Tumor Society score averaged at 27.1, while the International Society of Limb Salvage imaging score examination averaged 87.8%. Conclusions: Here, we demonstrate that the 3D printing osteotomy guide plate assisted hemicortical bone resection is a beneficial strategy to effectively resect the primary low-grade malignant bone tumors in the metaphysis of long bone and restore excellent joint function.

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The application of 3D-printing technology in pelvic bone tumor surgery

Cited by 44 publications

References 19 publications

3D-printed Prostheses Assisted by Osteotomy Guide Plates for Reconstruction Following Periacetabular Tumor Resection via Two Approaches

3D-printed Prostheses Assisted by Osteotomy Guide Plates for Reconstruction Following Periacetabular Tumor Resection via Two Approaches

Three-dimensional technologies used for patient specific applications in orthopedics

3D Printing Guide Plate for Accurate Hemicortical Bone Resection in Low-Grade Bone Sarcoma

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The application of 3D-printing technology in pelvic bone tumor surgery

Cited by 44 publications

References 19 publications

3D-printed Prostheses Assisted by Osteotomy Guide Plates for Reconstruction Following Periacetabular Tumor Resection via Two Approaches

3D-printed Prostheses Assisted by Osteotomy Guide Plates for Reconstruction Following Periacetabular Tumor Resection via Two Approaches

Three-dimensional technologies used for patient specific applications in orthopedics

3D Printing Guide Plate for Accurate Hemicortical Bone Resection&nbsp;in Low-Grade Bone Sarcoma

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3D Printing Guide Plate for Accurate Hemicortical Bone Resection in Low-Grade Bone Sarcoma