Osteoid osteoma: technique of computed tomography-controlled percutaneous resection using standard equipment available in most orthopaedic operating rooms

Citation
M. Buhler et al., Osteoid osteoma: technique of computed tomography-controlled percutaneous resection using standard equipment available in most orthopaedic operating rooms, ARCH ORTHOP, 121(8), 2001, pp. 458-461
Citations number
31
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN journal
0936-8051 → ACNP
Volume
121
Issue
8
Year of publication
2001
Pages
458 - 461
Database
ISI
SICI code
0936-8051(200109)121:8<458:OOTOCT>2.0.ZU;2-5
Abstract
Symptoms of osteoid osteoma are cured by removing the nidus. 'En-bloc' rese ction is often not successful because the nidus is hard to find and remove totally. Recently, minimally invasive procedures have been advocated for th e resection of osteoid osteoma. Preceding investigators have used a set of special instruments. The nidus is best localized with computed tomography ( CT). Surgery under CT control is only possible with minimal invasive proced ures. A technique using standard equipment usually available in the operati ng room can be used successfully for CT-guided removal of the nidus. We rep ort our preliminary results with 17 patients (12 men, 5 women) with an aver age age of 22 years (range 6-57 years). All patients were pain-free immedia tely after the operation. The average follow-up was 8.4 months (range 1-22 months) and the average operating time 75 min (range 50-130 min). Ten patie nts could be treated as outpatients. The average time in hospital after sur gery was 1.5 days (range 1-3 days). There were two complications, one super ficial wound infection and one chancre of operative technique to an open pr ocedure due to a technical problem. The diagnosis could be confirmed histol ogically.