<< Back to the abstract archive
Utilization and Efficacy of Virtual Surgical Planning in Extremity Long Bone Resection and Reconstruction. A Systematic Review
Gunel Guliyeva, MD, Andrew L. O'Brien, MD, MSH, Jason M. Souza, MD, FACS
The Ohio State University
2023-01-31
Presenter: Gunel Guliyeva, MD
Affidavit:
Jason M. Souza
Gunel Guliyeva performed 70% of the work required for the preparation of this abstract.
Director Name: Jason M. Souza
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
Background
Segmental bone defects are relatively uncommon, and, to date, their treatment has not been standardized. As the loss of bone tissue affects patient outcomes and complicates limb salvage, limited resections are currently preferred. In this study, we have summarized the literature on the use of computer-assisted surgery as a strategy to improve the accuracy of resections and osteotomies for lower extremity long bone reconstruction.
Materials and Methods
An electronic search of three databases (PubMed/Medline, Scopus, and Embase) was conducted by two independent authors. The search identified 2892 articles, and the study selection process followed the PRISMA guidelines.
Results
Only seven articles met the study inclusion criteria, and three of them were case studies. These studies reported positive outcomes. The other studies were focused on cancer resections and lacked a control group. Therefore, a comparison with conventional surgery was not possible. However, one study revealed no difference between the curettage and CAS en bloc resection groups.
Conclusion
Due to the low adoption rate of the CAS in lower extremity resection and reconstruction, the data on the subject is still scarce. Despite case studies reporting favorable outcomes, prospective, randomized studies with homogenous study groups should be performed to evaluate if the benefit of the CAS outweighs its drawbacks.
