Document Detail


Treatment of Osteoid Osteoma With CT-guided Percutaneous Radiofrequency Thermoablation.
MedLine Citation:
PMID:  23672909     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Osteoid osteoma is a benign bone tumor with a male predominance occurring mainly in children and young adults. The most common symptom is intermittent pain that worsens at night and is at least partially relieved by nonsteroidal anti-inflammatory drugs.The purpose of this study was to assess the long-term effectiveness of computed tomography-guided percutaneous radiofrequency thermoablation in patients with a minimum follow-up of 2 years. Twenty patients with osteoid osteoma (15 men and 5 women) with a mean age of 20.7 years (range, 4-61 years; 12 patients aged 20 years or younger) underwent computed tomography-guided percutaneous radiofrequency thermoablation. Lesion sites were the femur (n=9), tibia (n=7), pelvis (n=1), talus (n=1), cuneiform bone (n=1), and humerus (n=1). Mean follow-up was 44 months (range, 3-106 months). Pain relief was significant in 95% of patients; it disappeared within 24 hours in 14 patients, within 3 days in 4, and within 7 days in 1. The patient with persistent symptoms underwent another percutaneous radiofrequency thermoablation procedure that was successful. The difference between pre- and postoperative pain was significant (P⩽.01). No recurrences occurred.Computed tomography-guided percutaneous radiofrequency thermoablation is a safe, minimally invasive, and economical procedure with high technical and clinical success rates, and it effectively and durably enhances quality of life.
Authors:
Luigi de Palma; Roberto Candelari; Ettore Antico; Rocco Politano; Eugenio Luniew; Maurizio Giordanengo; Silvio Di Giansante; Mario Marinelli; Enrico Paci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopedics     Volume:  36     ISSN:  1938-2367     ISO Abbreviation:  Orthopedics     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-05-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e581-7     Citation Subset:  IM    
Copyright Information:
Copyright 2013, SLACK Incorporated.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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