Osteoid osteoma of the proximal femur: Treatment by percutaneous bone resection and drilling (PBRD). A report of 44 cases

Raux, Sébastien; Abelin-Genevois, Kariman; Cantérino, I; Chotel, Franck; Köhler, R.

doi:10.1016/j.otsr.2014.05.017

Cited by 29 publications

(15 citation statements)

References 17 publications

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“…Navigation-assisted surgery for a benign bone tumor has been shown to be safe and useful for evaluating the location of deep benign bone tumors and confirming the position of tumors during curettage in real time [13]. A previous study reported that navigation assistance helped to successfully prepare small holes for the removal of deeply located osteoid osteomas [14]. Although the tumors were small and deep in some of our patients (#2, 4 and 5), the navigation system helped to successfully detect the tumors.…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional fluoroscopic navigation-assisted surgery for tumors in patients with tumor-induced osteomalacia in the bones

Kobayashi

Akiyama

Okuma

et al. 2017

Computer Assisted Surgery

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Section: Discussionmentioning

confidence: 99%

Three-dimensional fluoroscopic navigation-assisted surgery for tumors in patients with tumor-induced osteomalacia in the bones

Kobayashi

Akiyama

Okuma

et al. 2017

Computer Assisted Surgery

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“…After the tumor is removed, the bone cortex can be replanted, and the healing is very fast. In other studies, pathological fracture and limited bone union were the main complications of the surgical treatment of OO, with an incidence rate of up to 8% [9,24]. Ruiz et al [25] reported that among 26 patients with bone tumors treated by radiofrequency ablation, one had symptomatic bone infarction, and another one had a pathological fracture.…”

Section: Resultsmentioning

confidence: 99%

Preponderance of precise open excision surgery to treat osteoid osteoma

Yuan¹,

Long²,

Liu³

et al. 2020

Preprint

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PurposeThe aim of this retrospective study was to evaluate the efficacy of precise open excision surgery to treat osteoid osteoma with C-arm assisted precise localization during the operation.MethodsFrom June 2010 to June 2017, patients with osteoid osteoma of the extremities who had undergone treatment by high speed burr grinding, full scratching with curette, and C-arm assisted lesion localization during the operation were analyzed retrospectively. The preoperative and postoperative pain was assessed by the visual analogue scale (VAS) scoring. The patients were followed up regularly, and the advantages, effects, and complications of the therapeutic technique were analyzed.ResultsThe study consisted of 94 patients (59 males, 35 females; mean age, 17.6 ± 8.5 years) and they were followed up for a mean of 38.9 months (range, 24–72 months). All patients were diagnosed with osteoid osteoma by postoperative pathological examination. Follow-up consisted of imaging reexamination and clinical evaluation. If the patients did not take non-steroidal anti-inflammatory drugs (NSAIDs) before the operation, the mean pre-operative VAS score was 6.7, and the mean VAS score of all patients was 0 one month after operation. The mean time for all patients to resume normal daily activities was 14.3 days (range, 10-21 days). There was no recurrence of pain, infection, vascular or nerve injury, and fracture complications during the follow-up. In only one case of distal femur osteoid osteoma (OO), review X-ray found a suspected recurrence 50 months after the primary surgery and subsequently, the patient underwent a second surgery. Till date, the patient has reported no discomfort following the second surgery.ConclusionsFor treatment of osteoid osteoma, open incision and minimal resection with C-arm assisted tumor localization is still a suitable method, especially for osteoid osteoma located on the surface of the cortical bone.

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“…OO is a benign bone tumour with pain as the rst symptom accompanied by evident nocturnal pain and typical intra-cortical nidus surrounded by sclerosis and cortical thickening as the primary manifestation, which often requires surgical intervention [3,6,[21][22][23]. The proximal femoral constitutes the most susceptible part for OO, which is challenging to treat because of its deep location, close to the hip joint, and complex local anatomy [4,14,15,17,24].…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis and treatment of proximal femoral osteoid osteoma

Liu

Zeng

Luo

et al. 2020

Preprint

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Aims: Herein, we examined the efficacy of open resection in proximal femoral osteoid osteoma (OO) treatment. Besides, we analysed the causes of misdiagnosis of proximal femoral OO to provide a reference for its diagnosis and treatment.Methods: This was a retrospective study involving 29 patients with proximal femoral OO admitted into our hospital from January 2010 to January 2018. The baseline characteristics of the participants included; 21 males and 9 females, aged between 13 to 25 (mean 16.2) years old, and the course of the disease was 1 to 14 (mean 6.1) months. We used previous medical experience records of the patients to analyze for the causes of misdiagnosis. Moreover, we compared the difference between preoperative and postoperative treatment practices in alleviating pain in OO patients and restoring hip function. Follow-ups were conducted regularly, and patients advised to avoid strenuous exercises for 3 months.Results: We followed up 29 patients (21 intercortical, 2 sub-periosteal, and 6 medullary) for an average of 42.5 months. We found that 13 patients (44.8%) had been misdiagnosed of synovitis, Perthes disease, osteomyelitis, intra-articular infection, and joint tuberculosis, whose average time from symptoms to diagnosis were 9.8 months. Postoperative pain score and joint function score improved significantly compared with preoperative, and complications were rare.Conclusion: Open surgical resection constitutes an effective treatment for proximal femoral OO by accurately and completely removing the nidus. Lack of understanding, wrong choice of examination, and the complexity and diversity of clinical manifestations constitute the main reasons for the misdiagnosis of proximal femoral OO.

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Osteoid osteoma of the proximal femur: Treatment by percutaneous bone resection and drilling (PBRD). A report of 44 cases

Abstract: Level IV.

Cited by 29 publications

References 17 publications

Three-dimensional fluoroscopic navigation-assisted surgery for tumors in patients with tumor-induced osteomalacia in the bones

Three-dimensional fluoroscopic navigation-assisted surgery for tumors in patients with tumor-induced osteomalacia in the bones

Preponderance of precise open excision surgery to treat osteoid osteoma

Misdiagnosis and treatment of proximal femoral osteoid osteoma

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