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. 2012 Sep 5;471(3):762–773. doi: 10.1007/s11999-012-2536-8

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.