Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones.
Fluoroscopy is currently the standard imaging modality for curettage of atypical cartilaginous tumors/chondrosarcoma grade 1 (ACT/CS1). Computer-assisted surgery (CAS) is a possible alternative, offering higher resolution imaging and continuous three-dimensional feedback without ionizing radiation u...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2018-01-01
|
| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5957352?pdf=render |
| _version_ | 1830090017721024512 |
|---|---|
| author | J G Gerbers E F Dierselhuis M Stevens J J W Ploegmakers S K Bulstra P C Jutte |
| author_facet | J G Gerbers E F Dierselhuis M Stevens J J W Ploegmakers S K Bulstra P C Jutte |
| author_sort | J G Gerbers |
| collection | DOAJ |
| description | Fluoroscopy is currently the standard imaging modality for curettage of atypical cartilaginous tumors/chondrosarcoma grade 1 (ACT/CS1). Computer-assisted surgery (CAS) is a possible alternative, offering higher resolution imaging and continuous three-dimensional feedback without ionizing radiation use. CAS hypothetically makes curettage more accurate, thereby decreasing residue or recurrence rate. This study aims to compare CAS and fluoroscopy in curettage of ACT/CS1.A single center retrospective cohort study was performed. CAS and fluoroscopy were used in parallel. Included were patients who had curettage for ACT/CS1in the long bones, with a minimum follow-up of 24 months. Tumor volume was determined on pre-operative MRI scans. Outcome comprised local recurrence rates, residue rates, complications and procedure time.Seventy-seven patients were included, 17 in the CAS cohort, 60 in the fluoroscopy cohort. Tumor volume was significantly larger in the CAS cohort (p = 0.04). There were no recurrences in either group. Residual tumor (2/17 vs. 7/60), complications did not differ significantly: fracture rate (3/17 vs. 6/60); nor did surgical time (1.26h vs. 1.34h).CAS curettage showed good oncologic results. Outcome was comparable to fluoroscopy, while not using ionizing radiation. There was no significant difference in surgical time. Residue rates can likely be decreased with specific software functions and surgical tools. |
| first_indexed | 2024-12-16T16:55:23Z |
| format | Article |
| id | doaj.art-8ab4222d692444ec9857b1e1805d643e |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-16T16:55:23Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-8ab4222d692444ec9857b1e1805d643e2022-12-21T22:23:54ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01135e019703310.1371/journal.pone.0197033Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones.J G GerbersE F DierselhuisM StevensJ J W PloegmakersS K BulstraP C JutteFluoroscopy is currently the standard imaging modality for curettage of atypical cartilaginous tumors/chondrosarcoma grade 1 (ACT/CS1). Computer-assisted surgery (CAS) is a possible alternative, offering higher resolution imaging and continuous three-dimensional feedback without ionizing radiation use. CAS hypothetically makes curettage more accurate, thereby decreasing residue or recurrence rate. This study aims to compare CAS and fluoroscopy in curettage of ACT/CS1.A single center retrospective cohort study was performed. CAS and fluoroscopy were used in parallel. Included were patients who had curettage for ACT/CS1in the long bones, with a minimum follow-up of 24 months. Tumor volume was determined on pre-operative MRI scans. Outcome comprised local recurrence rates, residue rates, complications and procedure time.Seventy-seven patients were included, 17 in the CAS cohort, 60 in the fluoroscopy cohort. Tumor volume was significantly larger in the CAS cohort (p = 0.04). There were no recurrences in either group. Residual tumor (2/17 vs. 7/60), complications did not differ significantly: fracture rate (3/17 vs. 6/60); nor did surgical time (1.26h vs. 1.34h).CAS curettage showed good oncologic results. Outcome was comparable to fluoroscopy, while not using ionizing radiation. There was no significant difference in surgical time. Residue rates can likely be decreased with specific software functions and surgical tools.http://europepmc.org/articles/PMC5957352?pdf=render |
| spellingShingle | J G Gerbers E F Dierselhuis M Stevens J J W Ploegmakers S K Bulstra P C Jutte Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones. PLoS ONE |
| title | Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones. |
| title_full | Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones. |
| title_fullStr | Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones. |
| title_full_unstemmed | Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones. |
| title_short | Computer-assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors / chondrosarcoma grade 1 in the long bones. |
| title_sort | computer assisted surgery compared to fluoroscopy in curettage of atypical cartilaginous tumors chondrosarcoma grade 1 in the long bones |
| url | http://europepmc.org/articles/PMC5957352?pdf=render |
| work_keys_str_mv | AT jggerbers computerassistedsurgerycomparedtofluoroscopyincurettageofatypicalcartilaginoustumorschondrosarcomagrade1inthelongbones AT efdierselhuis computerassistedsurgerycomparedtofluoroscopyincurettageofatypicalcartilaginoustumorschondrosarcomagrade1inthelongbones AT mstevens computerassistedsurgerycomparedtofluoroscopyincurettageofatypicalcartilaginoustumorschondrosarcomagrade1inthelongbones AT jjwploegmakers computerassistedsurgerycomparedtofluoroscopyincurettageofatypicalcartilaginoustumorschondrosarcomagrade1inthelongbones AT skbulstra computerassistedsurgerycomparedtofluoroscopyincurettageofatypicalcartilaginoustumorschondrosarcomagrade1inthelongbones AT pcjutte computerassistedsurgerycomparedtofluoroscopyincurettageofatypicalcartilaginoustumorschondrosarcomagrade1inthelongbones |