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Bone Endoscopy Around the Knee: Navigation Endoscopic Assisted Tumor (NEAT) Surgery for Benign Bone Tumors Around the Knee

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Endoscopy of the Hip and Knee
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Abstract

We describe a novel technique, Navigation and Endoscopic Assisted Tumor (NEAT) surgery in patients with benign bone tumors. The technique combines the advantages of both bone endoscopy and navigation guidance. It enables surgeons to perform intra-lesional tumor curettage in selected benign bone tumors in minimal access with less surgical trauma. The curettage procedure and the tumor cavity not only can be visualized with an endoscope but also can be assessed for tumor clearance with real-time feedback of navigation information on the preoperative CT images. It is particularly useful in benign bone tumors at difficultly accessed locations or tumors with irregular bone cavity and internal septae. The technique may avoid excessive bone removal to minimize the risk of fracture while preserving normal bone for better limb function. An initial learning curve, the facilities required, and a lack of long-term clinical results are some obstacles to its widespread use.

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References

  1. Farfalli GL, Slullitel PA, Muscolo DL, Ayerza MA, Aponte-Tinao LA. What happens to the articular surface after curettage for epiphyseal chondroblastoma? A report on functional results, arthritis, and arthroplasty. Clin Orthop Relat Res. 2017;475(3):760–6.

    Article  Google Scholar 

  2. van der Heijden L, van de Sande MA, Heineken AC, Fiocco M, Nelissen RG, Dijkstra PD. Mid-term outcome after curettage with polymethyl methacrylate for giant cell tumor around the knee: higher risk of radiographic osteoarthritis? J Bone Joint Surg Am. 2013;95(21):e159.

    Article  Google Scholar 

  3. Ramappa AJ, Lee FY, Tang P, et al. Chondroblastoma of bone. J Bone Joint Surg [Am]. 2000;82-A:1140–5.

    Article  Google Scholar 

  4. Turcotte RE, et al. Giant cell tumor of long bone: a Canadian Sarcoma Group study. Clin Onhop Relat Res. 2002;397:248–58.

    Article  Google Scholar 

  5. Hu P, Zhao L, Zhang H, et al. Recurrence rates and risk factors for primary giant cell tumors around the knee: a multicentre retrospective study in China. Sci Rep. 2016;6:36332.

    Article  CAS  Google Scholar 

  6. Stricker SJ. Extraarticular endoscopic excision of femoral head chondroblastoma. J Pediatr Orthop. 1995;15(5):578–81.

    Article  CAS  Google Scholar 

  7. Otsuka T, Kobayashi M, Yonezawa M, Kamiyama F, Matsushita Y, Matsui N. Treatment of chondroblastoma of the calcaneus with a secondary aneurysmal bone cyst using endoscopic curettage without bone grafting. Arthroscopy. 2002;18(4):430–5.

    Article  Google Scholar 

  8. Choi Y, Kwak JM, Chung SH, Jung GH, Kim JD. Tumor treated by endoscopy. Clin Orthoped Surg. 2014;6:72–9.

    Article  Google Scholar 

  9. Aiba M, Kobayashi Y, Waguri-Nagaya H, Goto J, Mizutani S, Yamada H, Okamoto M, Nozaki H, Mitsui S, Miwa M, Kobayashi K, Endo S, Saito T, Goto T. Otsuka, treatment of aneurysmal bone cysts using endoscopic curettage. BMC Musculoskelet. Disord. 2018;19(1):268.

    Article  Google Scholar 

  10. Dietz JF, Kachar SM, Nagle DJ. Endoscopically assisted excision of digital enchondroma. Arthroscopy. 2007;23:678.e1–4.

    Article  Google Scholar 

  11. Wong KC, Kumta SM, Tse LF, Ng WK, Lee KS. Navigation Endoscopic Assisted Tumor (NEAT) surgery for benign bone tumors of the extremities. Comput Aided Surg. 2010;15(1–3):32–9.

    Article  CAS  Google Scholar 

  12. Wong KC, Kumta SM. Use of computer navigation in orthopedic oncology. Curr Surg Rep. 2014;2(4):47.

    Article  Google Scholar 

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Correspondence to Kwok Chuen Wong .

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Wong, K.C., Lau, H.W., Chiu, W.K., Kumta, S.M. (2021). Bone Endoscopy Around the Knee: Navigation Endoscopic Assisted Tumor (NEAT) Surgery for Benign Bone Tumors Around the Knee. In: Lui, T.H. (eds) Endoscopy of the Hip and Knee. Springer, Singapore. https://doi.org/10.1007/978-981-16-3488-8_13

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  • DOI: https://doi.org/10.1007/978-981-16-3488-8_13

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-3487-1

  • Online ISBN: 978-981-16-3488-8

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