Computer-Navigated Bone Cutting in the Resection of a Pelvic Bone Tumor and Reconstruction with a Massive Bone Allograft by Pierre-Louis Docquier, Olivier.

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Presentation transcript:

Computer-Navigated Bone Cutting in the Resection of a Pelvic Bone Tumor and Reconstruction with a Massive Bone Allograft by Pierre-Louis Docquier, Olivier Cartiaux, Laurent Paul, Christian Delloye, and Xavier Banse JBJS Essent Surg Tech Volume 1(2):e10 July 20, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Large chondrosarcoma involving the left iliac bone (Enneking zones II and III). Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The tumor is delineated on each slice of an MRI where it is visible. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Exopelvic view (left image) and endopelvic view (right image) showing the selection of the cutting planes. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Allograft selection with allograft CT-to-patient CT registration. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The patient is placed in a lateral position and stabilized in place with rolled cloths. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The dynamic reference basis is inserted into the iliac crest (long arrow). Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The tumor iliac bone and allograft have been cut according to the same planes. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

The graft is inserted into the bone defect (Fig. 5-A), and the fit is checked. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

A total hip arthroplasty is performed with cement. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made on the third postoperative day, showing the osseous reconstruction and the hip arthroplasty. Pierre-Louis Docquier et al. JBJS Essent Surg Tech 2011;1:e10 ©2011 by The Journal of Bone and Joint Surgery, Inc.