Wound Healing Natasha Holder MD, MSc, FRCSC Orthopaedic Oncology Fellow For Dr. Joel Werier.
SARCOMA DIVISION Development of Computer Assisted Surgery for Orthopaedic Oncology Applications:...
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![Page 1: SARCOMA DIVISION Development of Computer Assisted Surgery for Orthopaedic Oncology Applications: Preliminary report of the first American Series David.](https://reader036.fdocuments.in/reader036/viewer/2022081603/56649f265503460f94c3dee2/html5/thumbnails/1.jpg)
SARCOMA DIVISION
Development of Computer Assisted Surgery for Orthopaedic Oncology Applications: Preliminary report of
the first American Series
David Cheong, Dylan Nugent, Eric R Henderson, German Marulanda,
G Douglas Letson
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SARCOMA DIVISION
Disclosure:
No financial support was received in the production of this presentation, data
being presented, surgical procedures, or instrumentation
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SARCOMA DIVISION
Navigation
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SARCOMA DIVISION
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SARCOMA DIVISION
Computer Navigated Oncology Surgeries since 2008
6 Distal Femur Replacement
3 Internal Hemi-pelvectomy
2 Proximal Tibia Replacement
1 Proximal Femur Replacement
6 Sacro-iliac Instrumentation
•Primary Malignant Bones Tumors•Multiple Myeloma •Benign Aggressive Bone Tumors• Aggressive Soft Tissue Sarcoma•Metastatic Disease
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SARCOMA DIVISION
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SARCOMA DIVISION
Image Based
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SARCOMA DIVISION
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SARCOMA DIVISION
Navigated Cautery Pencil
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SARCOMA DIVISION
Navigated Osteotome
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SARCOMA DIVISION
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SARCOMA DIVISION
Navigated Hemi-pelvectomyPlane Planning
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SARCOMA DIVISION
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SARCOMA DIVISION
Accuracy of Resection
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SARCOMA DIVISION
Limb Length
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SARCOMA DIVISION
Navigated Proximal Femur
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SARCOMA DIVISION
• Finding anatomical structures for optimum screw placement
• Replicate screw dimensions– Head size– Length– Diameter
• Set head point and screw axis• Multiple screw plans
Screw Planning
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SARCOMA DIVISION
Screw Planning
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SARCOMA DIVISION
Navigated Screws
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SARCOMA DIVISION
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SARCOMA DIVISION
Potential!!!
• Accuracy of Resection– Navigated instrumentation– Blending real time imaging
• Accuracy of Reconstruction– Re-establishing the joint line– Reducing limb length discrepancies
• Intra-operative Execution of the Pre-operative plan
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SARCOMA DIVISION
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SARCOMA DIVISION