ArticleWorld journal of surgical oncology2016
Tumor resection at the pelvis using three-dimensional planning and patient-specific instruments: a case series.
Article in World journal of surgical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed.
- Enhancing Precision in Pelvic Tumor Reconstruction: Early Experience and Iterative Design of Custom 3D-Printed Implants.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- A Dangerous Region Generation Method for Computer-Assisted Pelvic Bone Tumor Resection Surgery: A Retrospective Study.Journal of clinical medicine · 2026Article
- Tailored-Surgery for Locally Advanced Rectal Cancer Based on 3D Mathematical Reconstruction Surgical Planner: Prospective Multicenter Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Consistency of 3D reconstruction measurements of lower limb torsion at different segments with the CT gold standard.Scientific reports · 2025Article
- Evaluation of the accuracy of 3D-printed patient-specific osteotomy templates in pelvic tumor resection and reconstruction.Langenbeck's archives of surgery · 2024Article
- Patient-specific guides for consistently achieving R0 bone margins after resection of primary malignant bone tumors of the pelvis.World journal of surgical oncology · 2024Article
- Individualized Design Application of 3-Dimensional Printing Navigational Template for Pedicle Screw Installation: A Training Case Report.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Fluoroscopically calibrated 3D-printed patient-specific instruments improve the accuracy of osteotomy during bone tumor resection adjacent to joints.3D printing in medicine · 2024Article
- Augmented reality-guided pelvic osteotomy of Ganz: feasibility in cadavers.Archives of orthopaedic and trauma surgery · 2024Article
- How Does Customized Cutting Guide Design Affect Accuracy and Ergonomics in Pelvic Tumor Resection? A Study in Cadavers.Clinical orthopaedics and related research · 2024Article
- What to choose in bone tumour resections? Patient specific instrumentation versus surgical navigation: a systematic review.Journal of bone oncology · 2023Review
- Robot-assisted implantation of additively manufactured patient-specific orthopaedic implants: evaluation in a sheep model.International journal of computer assisted radiology and surgery · 2023Article
- Internal Hemipelvectomy for primary bone sarcomas using intraoperative patient specific instruments- the next step in limb salvage concept.BMC musculoskeletal disorders · 2022Article
- Registration based assessment of femoral torsion for rotational osteotomies based on the contralateral anatomy.BMC musculoskeletal disorders · 2022Article
- Quality of resection margin with patient specific instrument for bone tumor resection.Journal of bone oncology · 2022Article
- Surgical Treatment of Bone Sarcoma.Cancers · 2022Review
- Proximal femur versus acetabular extra-articular resection of the hip joint for primary malignant bone tumors: a retrospective comparative review of 33 cases.World journal of surgical oncology · 2022Review
- Digital chain for pelvic tumor resection with 3D-printed surgical cutting guides.Frontiers in bioengineering and biotechnology · 2022Article
- Clinical application of 3D-printed patient-specific guide plate combined with computer navigation in acetabular reconstruction following resection of periacetabular tumors.Annals of translational medicine · 2022Article
- Review and Future/Potential Application of Mixed Reality Technology in Orthopaedic Oncology.Orthopedic research and reviews · 2022Review
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5 authors.
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Abstract
backgroundSarcomas are associated with a relatively high local recurrence rate of around 30 % in the pelvis. Inadequate surgical margins are the most important reason. However, obtaining adequate margins is particularly difficult in this anatomically demanding region. Recently, three-dimensional (3-D) planning, printed models, and patient-specific instruments (PSI) with cutting blocks have been introduced to improve the precision during surgical tumor resection. This case series illustrates these modern 3-D tools in pelvic tumor surgery.
methodsThe first consecutive patients with 3-D-planned tumor resection around the pelvis were included in this retrospective study at a University Hospital in 2015. Detailed information about the clinical presentation, imaging techniques, preoperative planning, intraoperative surgical procedures, and postoperative evaluation is provided for each case. The primary outcome was tumor-free resection margins as assessed by a postoperative computed tomography (CT) scan of the specimen. The secondary outcomes were precision of preoperative planning and complications.
resultsFour patients with pelvic sarcomas were included in this study. The mean follow-up was 7.8 (range, 6.0-9.0) months. The combined use of preoperative planning with 3-D techniques, 3-D-printed models, and PSI for osteotomies led to higher precision (maximal (max) error of 0.4 centimeters (cm)) than conventional 3-D planning and freehand osteotomies (max error of 2.8 cm). Tumor-free margins were obtained where measurable (n = 3; margins were not assessable in a patient with curettage). Two insufficiency fractures were noted postoperatively.
conclusionsThree-dimensional planning as well as the intraoperative use of 3-D-printed models and PSI are valuable for complex sarcoma resection at the pelvis. Three-dimensionally printed models of the patient anatomy may help visualization and precision. PSI with cutting blocks help perform very precise osteotomies for adequate resection margins.
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