Table 1.
Details of eight patients with joint-preserving tumor resection and reconstruction under the guidance of computer navigation
Patient | Age (years) | Sex | Diagnosis | Location | Surgery | Bone reconstruction | AB (mm) | ROM (°) | MSTS score (points) | Followup (months) | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 46 | Female | Parosteal osteosarcoma | Proximal tibia (posterior aspect) | Joint-preserving resection (hemicortical) | Vascularized fibular graft | 10 | 0–130 | 28 | 59.8 | |
2 | 14 | Male | Conventional osteosarcoma | Femur (subtrochanteric region to distal metaphysis) | Joint-preserving resection after neoadjuvant chemotherapy | Custom tumor prosthesis | 14 | 0–120 | 30 | 52.3 | |
3 | 6 | Male | Conventional osteosarcoma | Distal femur (metaphysis) | Joint-preserving resection after neoadjuvant chemotherapy | Custom extendable tumor prosthesis | 10 | 0–90 | 5.0 | Died of pulmonary metastases at 5 months postsurgery | |
4 | 8 | Male | Conventional osteosarcoma | Distal femur (metaphysis) | Joint-preserving resection after neoadjuvant chemotherapy | Custom extendable tumor prosthesis | 8 | 0–130 | 30 | 45.7 | |
5 | 21 | Female | Low-grade chondrosarcoma | Proximal femur (at greater trochanter) | Joint-preserving resection (multiplanar) | Custom tumor prosthesis | 50 | 0–135 | 28 | 41.0 | |
6 | 24 | Male | Parosteal osteosarcoma | Distal femur (metaphysis) | Joint-preserving resection (multiplanar) | Custom tumor prosthesis | 11 | 0–95 | 28 | 35.3 | Proximal femur stem loosened at 2.5 years; only proximal component revised |
7 | 6 | Male | Conventional osteosarcoma | Distal femur (metaphysis) | Joint-preserving resection after neoadjuvant chemotherapy | Custom extendable tumor prosthesis | 5 | 0–130 | 30 | 26.0 | |
8 | 16 | Female | Low-grade chondrosarcoma | Proximal humerus (metaphysis) | Joint-preserving resection (hemicortical) | Iliac crest bone graft | 25 | 0–180 | 30 | 24.7 |
AB = shortest length of the remaining epiphysis measured to the joint line; MSTS score = Musculoskeletal Tumor Society score, with a total score of 30 points.