Effectiveness of Computed Tomography Guided Percutaneous Radiofrequency Ablation Therapy for Osteoid Osteoma: Initial Results and Review of the Literature

Karagöz, Erdal; Özel, Deniz; Özkan, Fuat; Özel, Begüm; Özer, Özgür; Coskun, Zafer Unsal

doi:10.12659/pjr.896475

Cited by 12 publications

(4 citation statements)

References 32 publications

(63 reference statements)

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“…We observed that the mean nidus size was 8.12±1.52 mm. Similar results were seen in a study done by Karagoz et al, where the mean nidus size was 8.06 mm [25].…”

Section: Discussionsupporting

confidence: 91%

Outcomes of Osteoid Osteoma Treated by Percutaneous CT-Guided Radiofrequency Ablation

Bhakhar,

Sharma,

Kaganur

et al. 2023

Cureus

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IntroductionOsteoid osteomas are the most frequent true benign bone tumor in the adolescent age group and the third most prevalent benign bone tumor overall. This study was designed to assess the effectiveness of the procedure and correlate it with the analgesia offered because of the significant burden of this illness and new literature supporting the successful outcomes of image-guided percutaneous radiofrequency ablation (RFA) in osteoid osteoma. MethodologyThis hospital-based interventional trial was carried out in a tertiary care referral center. Forty-two patients with osteoid osteoma, ranging in age from 9 to 30, were included in the study. The patients received RFA guided by computed tomography (CT), and they were postoperatively monitored at one, two, and four weeks and three, six months, and 12 months. A numerical pain scale (NPS) was used to evaluate the patient's pain both before and after the procedure. The preoperative and postoperative results were contrasted. ResultsA total of 42 participants were enrolled in the study. Eight (19.05%) women and 34 (80.95%) men made up the group. Complete pain alleviation (NPS=0) was attained in 42.8% and 96.4% of the study group in the first and second weeks post-procedure. Almost all patients began protected weight-bearing at one week, according to their level of pain tolerance. Osteoid osteoma of the talus was a remnant lesion in one patient that required further treatment after two weeks. During the duration of the follow-up, no problems were recorded. ConclusionPercutaneous CT-guided RFA of osteoid osteoma is a safe, minimally invasive procedure and greatly reduces the duration of hospitalization. It has excellent functional outcomes and no known complications.

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“…We observed that the mean nidus size was 8.12±1.52 mm. Similar results were seen in a study done by Karagoz et al, where the mean nidus size was 8.06 mm [25].…”

Section: Discussionsupporting

confidence: 91%

Outcomes of Osteoid Osteoma Treated by Percutaneous CT-Guided Radiofrequency Ablation

Bhakhar,

Sharma,

Kaganur

et al. 2023

Cureus

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“…In the series of 86 cases by Nijland et al, skin burns were detected in 2 patients [15]. In the 18-case study by Karagoz et al, skin burns were detected in 1 patient [16]. We detected second-degree skin burns in 2 patients.…”

Section: Discussionmentioning

confidence: 56%

Complications of Computer Tomography Assisted Radiofrequency Ablation in the Treatment of Osteoid Osteoma

Öç¹,

Kılınç

Şahin

et al. 2019

BioMed Research International

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Background. Osteoid osteoma (OO) is one of the most commonly occurring benign bone tumors. It constitutes 10-12% of benign bone tumors and 2-3% of primary bone tumors. In radiofrequency ablation (RFA) treatment, the cells of the tumor are thermally inactivated by the help of electrodes shaped like needles. In our study, we aimed to show the major and minor complications in patients undergoing RFA and to show what should be done to prevent these complications. Methods. The study was carried out as a prospective study on the follow-up of 87 osteoid osteoma patients treated between 2015 and 2017. The youngest of the patients was 1 year old and the oldest was 42 years old. The RFA procedure lasted 10 min on average, excluding anesthesia and preparation. All lesions were ablated at 90 degrees for 7 minutes with the heat increased gradually. All patients were followed up for 1 day in the orthopedics clinic. Results. Complications were observed in 7 patients. The lesions with the most complications were observed to be in the tibia, second-degree burns were seen in 2 patients, and superficial skin infection was observed in 2 patients. In 1 patient, the probe tip was broken and remained within the bone. Intramuscular hematoma was detected in 1 lesion located in the proximal femur. A complaint of numbness in the fingers developed in a lesion located in the metacarpus. Conclusion. Preventive measures should be taken before the procedure in order to prevent minor complications, and, for major complications, close follow-up should be done after the procedure and patients should be kept away from heavy physical activities for the first 3 months.

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“…These findings are similar to the literature. [15,17] Compared with the available literature, the low number of cases, the absence of a control group, and the absence of histopathologic verifications may be considered as the weaknesses of our study. Although having no histopathologic verification in RFA treatment of OOs is seen as a disadvantage, Vanderschueren et al [8] have stated that they took samples for histopathologic examination before applying RF; however, such examination did not provide any histopathologic diagnosis in 62-64% of their patients.…”

Section: Discussionmentioning

confidence: 93%

“…There are various publications in the literature stating that the period for pain relief ranges between one to 15 days. [ 15 - 17 ] During the first evaluation on the 15th postoperative day, we examined the pain relief period in our patients and determined that it varies between two to eight days (average, 4.4 days). These findings are similar to the literature.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary approach in the treatment of osteoid osteoma with radiofrequency ablation

et al. 2020

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Osteoid osteoma (OO) is a benign tumor that is frequently seen in young people usually in the second and third decade. Tumor localization may be in cortical or cancellous bone. [1] Radiologically, a surrounding sclerotic lesion and a structure called "nidus" are present. Clinically, night pain is typical and frequently responds well to nonsteroidal drugs. There are many treatment modalities for OO including medical treatment, percutaneous radiofrequency ablation (RFA) treatment, and open surgical procedures. [1] However, despite all these different treatment methods, recurrence of OO is a significant problem. The protocol for a successful treatment should be planned in a different way for each patient. The multidisciplinary approach is an appropriate method for the treatment of various diseases that decreases the rate of morbidity in radiologic interventions as well as in many other fields of medicine. The synergy created by multiple disciplines Objectives: This study aims to present the importance of a multidisciplinary approach to radiofrequency ablation (RFA) treatment in osteoid osteoma (OO) patients by a team of experts in their field in preventing recurrence and complications. Patients and methods: For this retrospective study, a team of two orthopedists, two interventional radiologists, and one anesthesiologist was established in January 2013 to manage the diagnosis, follow-up, and treatment process of patients with OO at Bakırköy Dr. Sadi Konuk Training and Research Hospital. A total of 27 patients (15 males, 12 females; mean age 22.9 years; range, 9 to 54 years) were treated by this team between February 2013 and September 2016. The anatomic localization included iliac crest in four patients, the femur in 12 patients, fibula in two patients, humerus in three patients, radius in one patient, tibia in three patients, talus in one patient, and metacarpal in one patient. The procedures were carried out by the same interventional radiologists, same orthopedic surgeons, and same anesthesiologist in the computed tomography (CT) unit under aseptic conditions. After appropriate anesthesia for the localization of OO, the patient was positioned on the CT bed and the localization of the lesion was confirmed with a CT scan mapping. Then, a bone penetration cannula was advanced and bone cortex was penetrated with a charged motor and Kirschner (K)-wire. When the cannula reached the nidus, it was replaced with RFA probe. Ablation of the nidus was performed for five minutes at 90°C. Results: The mean follow-up period was 46 months (range, 25 to 66 months). Patients were evaluated with visual analog scale (VAS) scores preoperatively and at postoperative 15 th day, sixth month, and first year. In the last evaluation of the study data, the patients were called by telephone and questioned whether there were any changes in their final status. The mean preoperative VAS score was 7.2. The mean postoperative VAS scores of the 15 th day, sixth month, and first year were 1.3, 0.6, and 0, respectively. In the last follow-up, the OO...

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Effectiveness of Computed Tomography Guided Percutaneous Radiofrequency Ablation Therapy for Osteoid Osteoma: Initial Results and Review of the Literature

Cited by 12 publications

References 32 publications

Outcomes of Osteoid Osteoma Treated by Percutaneous CT-Guided Radiofrequency Ablation

Outcomes of Osteoid Osteoma Treated by Percutaneous CT-Guided Radiofrequency Ablation

Complications of Computer Tomography Assisted Radiofrequency Ablation in the Treatment of Osteoid Osteoma

Multidisciplinary approach in the treatment of osteoid osteoma with radiofrequency ablation

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