Surgical Treatment of Patients with Benign Tumors and Tumor-Like Diseases of Tubular Bones Using 3D Modeling and Computer Navigation

The aim of the investigation was to evaluate the possibilities of applying 3D modeling and computer navigation in treatment of benign tumors and tumor-like diseases of tubular bones.

Materials and Methods. The study involved 19 patients with benign tumors and tumor-like diseases of tubular bones of the skeleton, who were divided into two groups. The main group comprised 10 patients in whom three-dimensional models of affected bone segments were created in addition to radiography and computed tomography at the stage of preoperative planning. Surgical treatment was carried out using a navigation system. The control group included 9 patients who underwent only radiography and computed tomography of the affected segment at the stage of preoperative planning.

Results. The use of 3D modeling in diagnosis and computer navigation in surgical treatment of benign tumors and tumor-like diseases of tubular bones helped to reduce the time of surgery from 121.5±11.3 to 81.1±9.7 min, intraoperative blood loss from 718.7±43.2 to 364.2±28.4 ml, pain intensity by visual analogue scale from 7.6±1.9 to 5.3±1.2 scores. These results were achieved through the development of intuitively simple for the operator system of real-time spatial orientation in the operating field, more accurate and measured surgical procedures, precise calculation of the required transplant volume, which minimized trauma to the donor area and contributed to reducing postoperative pain.

Conclusion. The use of 3D modeling and computer navigation in treatment of patients with benign tumors and tumor-like diseases of tubular bones provides the possibility to improve immediate results of surgical treatment promoting fast social and functional adaptation of patients.

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Prikhod’ko S.A., Kotelnikov G.P., Nikolayenko A.N., Chaplygin S.S., Ivanov V.V., Popov N.V., Zelter P.M., Kolsanov A.V. Surgical Treatment of Patients with Benign Tumors and Tumor-Like Diseases of Tubular Bones Using 3D Modeling and Computer Navigation. Sovremennye tehnologii v medicine 2017; 9(3): 64, https://doi.org/10.17691/stm2017.9.3.08