Minimally invasive surgery for osteoid osteoma of the proximal femur

Hk, Graham; Laverick,; Cosgrove, A.P.; Crone,

doi:10.1302/0301-620x.75b1.8421006

Cited by 41 publications

(16 citation statements)

References 10 publications

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“…Radiofrequency ablative therapy can be combined with operative mobilisation or fluid cooling of the adjacent structures as an alternative to nidus curettage or burring. Computed tomography and fluoroscopy-guided drilling of osteoid osteoma has used various trephines and drills ranging from a 14-G needle to a 9-mm drill bit (Table 3) [12,13,33,34,35,36,37,38,39,40,41,42,43]. This can be performed as an inpatient or outpatient treatment with histological confirmation in 50-100% in case series of greater than two patients.…”

Section: Post-procedures Imagingmentioning

confidence: 99%

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Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation

2004

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This article reviews current trends in the treatment of osteoid osteoma with an emphasis on the evolving use of radiofrequency thermoablation as a primary definitive treatment and for recurrent and residual lesions. In so doing, the article reviews merits and relative disadvantages of both surgical and non-surgical imaging-guided techniques in treatment. Radiofrequency ablation of osteoid osteoma is a highly effective, efficient, minimally invasive and safe method of treating osteoid osteoma. Clinical success range from 76 to 100%. Surgery remains the standard treatment in cases where histology of the lesion is in doubt, neurovascular structures are within 1.5 cm or in repeated failure of any other minimally invasive ablative technique or percutaneous resection. Clinical success of surgery ranges from 88 to 100%. Laser interstitial thermal therapy shares many of the advantages and much of the success of radiofrequency thermoablation but has not been as available. Clinical success ranges from 87 to 100%. Cryotherapy, ethanol therapy and imaging-guided excision remain second-line therapies. Clinical success ranges from 77 to 100% for imaging-guided resection and 100% for ethanol therapy.

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Section: Post-procedures Imagingmentioning

confidence: 99%

“…Success has been reported as 77-100% of patients using varied materials and methods (Table 3) [12,13,33,34,35,36,37,38,39,40,41,42,43]. Cure in histologically confirmed osteoid osteoma is 88% [33].…”

Section: Post-procedures Imagingmentioning

confidence: 99%

Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation

2004

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“…The trephine needle used at percutaneous resection, however, is often large, ranging from 7 to 10 mm in internal diameter (11,12,(14)(15)(16)(17)(18)(19). The large size of the instrument may incur risk of neurologic and vascular injury in some anatomic regions, particularly in children.…”

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confidence: 99%

Osteoid Osteoma: Percutaneous Laser Ablation and Follow-up in 114 Patients

Gangi

Alizadeh²,

Wong³

et al. 2007

Radiology

227

181

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“…Many different approaches have been reported in literature and results are comparable to those of open surgery. The most commonly used procedures are CT-scan guided; the ablation technique is generally radiofrequency thermoablation, preceded by Kwire drilling whenever the reactive bone was too sclerotic [22][23][24]. Tsoumakidou et al report the use of Laser photocoagulation in the axial skeleton.…”

Section: Case Reportmentioning

confidence: 99%

Osteoid Osteoma of the Distal Fibula: a Case Report of a Very Rare Location Treatment

Santini¹,

Merendi²,

Rocchi³

2017

J Bone Res

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Osteoid Osteoma (OO) is a very common small benign osteoblastic tumor. It represents 10% of all bone benign lesions, and is usually localized to the proximal metadiaphysis of the femur. We report the case of an OO localized in the distal inner metadiaphysis of the fibula. To our knowledge this is the first report in literature. We performed enbloc resection because of the deep localization of the lesion, which was not reachable by minimally invasive procedures. At 6 months follow-up bone stock reconstitution was observed, and no relapse occurred at 1 year. Plain X-rays are generally sufficient to make a diagnosis. When radiological findings are not suggestive, computed tomography and bone scan represent second level examinations. Minimally invasive procedures represent a promising and valuable treatment, but open surgery shall be still taken in account when the location is not easy to reach and/or it is in proximity to neurovascular structures.

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Minimally invasive surgery for osteoid osteoma of the proximal femur

Cited by 41 publications

References 10 publications

Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation

Current trends in treatment of osteoid osteoma with an emphasis on radiofrequency ablation

Osteoid Osteoma: Percutaneous Laser Ablation and Follow-up in 114 Patients

Osteoid Osteoma of the Distal Fibula: a Case Report of a Very Rare Location Treatment

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