Intraoperative navigation for minimally invasive resection of periarticular and pelvic tumors

Kevin Wu, Nicholas P. Webber, Russell A. Ward, Kevin B. Jones, R Randall

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The surgical approach to benign, metastatic, and some low-grade malignant tumors is often difficult due to their typically precarious locations. This article presents a series of cases where intraoperative stealth navigation was used to treat periarticular tumors. The use of paired point imaging with image fusion has made approaching tumors through an accurate and minimally invasive technique a viable option for the treatment of a subset of musculoskeletal tumors. Conventional resection of periarticular and pelvic tumors of bone usually requires an extensive surgical approach to adequately visualize the tumor and protect the nearby neurovascular structures. When tumors in periarticular locations are encountered, dislocation of the affected joint may be necessary, putting periarticular and subchondral bone at risk for osseous necrosis and articular surfaces at risk of mechanical insult at the time of dislocation. While arthroscopic techniques may enable a minimally invasive mode of surgical approach in certain anatomic locations, this is not always feasible and can add additional operative time and morbidity to the patient. This article describes 5 cases where locally aggressive tumors in challenging periarticular anatomic locations were treated in a minimally invasive manner with the assistance of image fusion and paired-point registration.

Original languageEnglish (US)
JournalOrthopedics
Volume34
Issue number5
StatePublished - May 1 2011
Externally publishedYes

Fingerprint

Neoplasms
Pelvic Bones
Operative Time
Joint Dislocations
Necrosis
Joints
Morbidity
Bone and Bones
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Intraoperative navigation for minimally invasive resection of periarticular and pelvic tumors. / Wu, Kevin; Webber, Nicholas P.; Ward, Russell A.; Jones, Kevin B.; Randall, R.

In: Orthopedics, Vol. 34, No. 5, 01.05.2011.

Research output: Contribution to journalArticle

Wu, Kevin ; Webber, Nicholas P. ; Ward, Russell A. ; Jones, Kevin B. ; Randall, R. / Intraoperative navigation for minimally invasive resection of periarticular and pelvic tumors. In: Orthopedics. 2011 ; Vol. 34, No. 5.
@article{d77c147822094803af2ba4a977970073,
title = "Intraoperative navigation for minimally invasive resection of periarticular and pelvic tumors",
abstract = "The surgical approach to benign, metastatic, and some low-grade malignant tumors is often difficult due to their typically precarious locations. This article presents a series of cases where intraoperative stealth navigation was used to treat periarticular tumors. The use of paired point imaging with image fusion has made approaching tumors through an accurate and minimally invasive technique a viable option for the treatment of a subset of musculoskeletal tumors. Conventional resection of periarticular and pelvic tumors of bone usually requires an extensive surgical approach to adequately visualize the tumor and protect the nearby neurovascular structures. When tumors in periarticular locations are encountered, dislocation of the affected joint may be necessary, putting periarticular and subchondral bone at risk for osseous necrosis and articular surfaces at risk of mechanical insult at the time of dislocation. While arthroscopic techniques may enable a minimally invasive mode of surgical approach in certain anatomic locations, this is not always feasible and can add additional operative time and morbidity to the patient. This article describes 5 cases where locally aggressive tumors in challenging periarticular anatomic locations were treated in a minimally invasive manner with the assistance of image fusion and paired-point registration.",
author = "Kevin Wu and Webber, {Nicholas P.} and Ward, {Russell A.} and Jones, {Kevin B.} and R Randall",
year = "2011",
month = "5",
day = "1",
language = "English (US)",
volume = "34",
journal = "Orthopedics",
issn = "0147-7447",
publisher = "Slack Incorporated",
number = "5",

}

TY - JOUR

T1 - Intraoperative navigation for minimally invasive resection of periarticular and pelvic tumors

AU - Wu, Kevin

AU - Webber, Nicholas P.

AU - Ward, Russell A.

AU - Jones, Kevin B.

AU - Randall, R

PY - 2011/5/1

Y1 - 2011/5/1

N2 - The surgical approach to benign, metastatic, and some low-grade malignant tumors is often difficult due to their typically precarious locations. This article presents a series of cases where intraoperative stealth navigation was used to treat periarticular tumors. The use of paired point imaging with image fusion has made approaching tumors through an accurate and minimally invasive technique a viable option for the treatment of a subset of musculoskeletal tumors. Conventional resection of periarticular and pelvic tumors of bone usually requires an extensive surgical approach to adequately visualize the tumor and protect the nearby neurovascular structures. When tumors in periarticular locations are encountered, dislocation of the affected joint may be necessary, putting periarticular and subchondral bone at risk for osseous necrosis and articular surfaces at risk of mechanical insult at the time of dislocation. While arthroscopic techniques may enable a minimally invasive mode of surgical approach in certain anatomic locations, this is not always feasible and can add additional operative time and morbidity to the patient. This article describes 5 cases where locally aggressive tumors in challenging periarticular anatomic locations were treated in a minimally invasive manner with the assistance of image fusion and paired-point registration.

AB - The surgical approach to benign, metastatic, and some low-grade malignant tumors is often difficult due to their typically precarious locations. This article presents a series of cases where intraoperative stealth navigation was used to treat periarticular tumors. The use of paired point imaging with image fusion has made approaching tumors through an accurate and minimally invasive technique a viable option for the treatment of a subset of musculoskeletal tumors. Conventional resection of periarticular and pelvic tumors of bone usually requires an extensive surgical approach to adequately visualize the tumor and protect the nearby neurovascular structures. When tumors in periarticular locations are encountered, dislocation of the affected joint may be necessary, putting periarticular and subchondral bone at risk for osseous necrosis and articular surfaces at risk of mechanical insult at the time of dislocation. While arthroscopic techniques may enable a minimally invasive mode of surgical approach in certain anatomic locations, this is not always feasible and can add additional operative time and morbidity to the patient. This article describes 5 cases where locally aggressive tumors in challenging periarticular anatomic locations were treated in a minimally invasive manner with the assistance of image fusion and paired-point registration.

UR - http://www.scopus.com/inward/record.url?scp=79955846782&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955846782&partnerID=8YFLogxK

M3 - Article

C2 - 21553742

AN - SCOPUS:79955846782

VL - 34

JO - Orthopedics

JF - Orthopedics

SN - 0147-7447

IS - 5

ER -