A novel intraoperative method to project osteotomy lines for accurate resection of primary bone sarcomas

Autor: Guangyu He, Amos Z. Dai, Vamiq M. Mustahsan, Aadit T. Shah, Liming Li, Jafar A. Khan, Michael R. Bielski, David E. Komatsu, Imin Kao, Fazel A. Khan
Rok vydání: 2022
Předmět:
Zdroj: J Orthop
ISSN: 0972-978X
Popis: BACKGROUND: Accurate reproduction of a preoperative plan is critical in wide resection of bone sarcomas. Recent advances in computer navigation and 3D-custom jigs have increased resection accuracy, although with certain practical drawbacks. METHODS: We developed a novel “projector method” that projects the preoperative osteotomy lines onto the bone. A sawbone study was conducted to evaluate accuracy in reproducing preoperative resection plans. An additional cadaver experiment was conducted to evaluate feasibility in a more realistic operating room setting. RESULTS: Based on the results of experiments conducted on sawbones, the proposed light projector method was more accurate at depicting desired osteotomy lines than a traditional manual method, reducing the corner deviation from 2.53 mm to 0.35 mm, angular deviation from 2.10° to 0.31°, and point deviation from 4.66 mm to 0.48 mm (p
Databáze: OpenAIRE