Complex Bone Tumors of the Trunk-The Role of 3D Printing and Navigation in Tumor Orthopedics: A Case Series and Review of the Literature.

3D printing bone defects navigation-assisted surgery oncologic orthopedics patient specific tumor orthopedics tumor surgery

Journal

Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269

Informations de publication

Date de publication:
04 Jun 2021
Historique:
received: 18 05 2021
revised: 28 05 2021
accepted: 01 06 2021
entrez: 2 7 2021
pubmed: 3 7 2021
medline: 3 7 2021
Statut: epublish

Résumé

The combination of 3D printing and navigation promises improvements in surgical procedures and outcomes for complex bone tumor resection of the trunk, but its features have rarely been described in the literature. Five patients with trunk tumors were surgically treated in our institution using a combination of 3D printing and navigation. The main process includes segmentation, virtual modeling and build preparation, as well as quality assessment. Tumor resection was performed with navigated instruments. Preoperative planning supported clear margin multiplanar resections with intraoperatively adaptable real-time visualization of navigated instruments. The follow-up ranged from 2-15 months with a good functional result. The present results and the review of the current literature reflect the trend and the diverse applications of 3D printing in the medical field. 3D printing at hospital sites is often not standardized, but regulatory aspects may serve as disincentives. However, 3D printing has an increasing impact on precision medicine, and we are convinced that our process represents a valuable contribution in the context of patient-centered individual care.

Identifiants

pubmed: 34200075
pii: jpm11060517
doi: 10.3390/jpm11060517
pmc: PMC8228871
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Références

Clin Orthop Relat Res. 2013 Mar;471(3):750-61
pubmed: 22948530
Medicine (Baltimore). 2017 Mar;96(12):e6414
pubmed: 28328842
Nucl Med Commun. 2012 Sep;33(9):947-53
pubmed: 22760301
Expert Rev Med Devices. 2016 Sep;13(9):853-64
pubmed: 27479020
3D Print Med. 2018 Nov 21;4(1):11
pubmed: 30649688
Healthc Technol Lett. 2018 Sep 14;5(5):162-166
pubmed: 30464847
Ann Biomed Eng. 2014 Jan;42(1):205-13
pubmed: 23963884
Lancet Digit Health. 2019 Aug;1(4):e163-e171
pubmed: 33323186
Acta Orthop. 2008 Oct;79(5):695-702
pubmed: 18839378
3D Print Med. 2015;2(1):5
pubmed: 30050977
Clin Spine Surg. 2019 Apr;32(3):E166-E170
pubmed: 30507639
Ann Transl Med. 2019 May;7(10):223
pubmed: 31297388
Spine J. 2019 Jan;19(1):56-64
pubmed: 29730456
J Bone Joint Surg Am. 1978 Sep;60(6):731-46
pubmed: 701308
Eur Spine J. 2016 Dec;25(12):4103-4107
pubmed: 27652681
Unfallchirurg. 2019 Apr;122(4):278-285
pubmed: 30887060
3D Print Med. 2020 Mar 30;6(1):7
pubmed: 32232596
Radiographics. 2005 Sep-Oct;25(5):1409-28
pubmed: 16160120
Clin Orthop Relat Res. 2008 Oct;466(10):2533-41
pubmed: 18648902
Comput Aided Surg. 2013;18(1-2):19-26
pubmed: 23176154
Med Phys. 2019 May;46(5):2243-2250
pubmed: 30887526
J Bone Joint Surg Br. 2012 Oct;94(10):1414-20
pubmed: 23015571
Biomaterials. 2005 Sep;26(27):5474-91
pubmed: 15860204
J Bone Joint Surg Br. 2002 Jan;84(1):93-9
pubmed: 11837841
Ann Oncol. 2018 Oct 1;29(Suppl 4):iv79-iv95
pubmed: 30285218
Int Orthop. 2015 Nov;39(11):2253-9
pubmed: 26183143
Clin Orthop Relat Res. 2020 Nov;478(11):2487-2501
pubmed: 32420722
JBJS Case Connect. 2019 Dec;9(4):e0060
pubmed: 31855877
J Biomech. 1995 Jun;28(6):715-24
pubmed: 7601870
BMJ Case Rep. 2019 Sep 30;12(9):
pubmed: 31570349
Acad Radiol. 2020 Aug;27(8):1103-1113
pubmed: 31542197
Bone Joint J. 2017 Feb;99-B(2):261-266
pubmed: 28148671
Hip Int. 2020 Feb 4;:1120700020904940
pubmed: 32019376
Orthop Res Rev. 2016 Oct 14;8:57-66
pubmed: 30774470
Sarcoma. 2014;2014:842709
pubmed: 25100921
Sci Rep. 2016 Mar 21;6:23335
pubmed: 26997197
J Arthroplasty. 2019 Feb;34(2):338-345.e1
pubmed: 30497901
J Clin Neurosci. 2018 Jun;52:109-114
pubmed: 29580745
Bone Joint J. 2020 Mar;102-B(3):280-284
pubmed: 32114813
Bone Joint J. 2013 Oct;95-B(10):1417-24
pubmed: 24078543
Bone Joint Res. 2017 Oct;6(10):577-583
pubmed: 29054990
3D Print Med. 2015;1(1):3
pubmed: 30050972
Int J Med Inform. 2001 Dec;64(2-3):439-47
pubmed: 11734404
Bone Joint J. 2016 Apr;98-B(4):555-63
pubmed: 27037440
Int Orthop. 2019 Jan;43(1):123-132
pubmed: 30467646
J Neurosurg Spine. 2017 Apr;26(4):513-518
pubmed: 28106524
Orthop Traumatol Surg Res. 2019 Jun;105(4):781-787
pubmed: 30982774
J Surg Oncol. 2018 Nov;118(6):898-905
pubmed: 30261096
J Surg Oncol. 2017 Sep;116(3):407-415
pubmed: 28753252
Oper Orthop Traumatol. 2012 Jul;24(3):196-214
pubmed: 22743633
World Neurosurg. 2020 Jan;133:e327-e341
pubmed: 31520760
3D Print Med. 2021 Jan 6;7(1):1
pubmed: 33404847
Comput Aided Surg. 2015;20(1):14-23
pubmed: 26290317
3D Print Med. 2017;3(1):6
pubmed: 29782614
BMC Musculoskelet Disord. 2020 Jul 21;21(1):478
pubmed: 32693799
Ann Surg Oncol. 2008 Jan;15(1):355-63
pubmed: 17955297
Eur J Cancer. 2013 Feb;49(3):684-95
pubmed: 23079473
Radiographics. 2015 Nov-Dec;35(7):1965-88
pubmed: 26562233
Int Orthop. 2019 Feb;43(2):425-431
pubmed: 29725736
Int Orthop. 2021 Apr;45(4):1079-1085
pubmed: 32901331

Auteurs

Martin Schulze (M)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Georg Gosheger (G)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Sebastian Bockholt (S)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Marieke De Vaal (M)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Tymo Budny (T)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Max Tönnemann (M)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Jan Pützler (J)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Albert Schulze Bövingloh (AS)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Robert Rischen (R)

Clinic for Radiology, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Muenster, Germany.

Vincent Hofbauer (V)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Timo Lübben (T)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Niklas Deventer (N)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Helmut Ahrens (H)

Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Classifications MeSH