A simple method for percutaneous resection of osteoid osteoma

Authors

• Reza S. Kamrani, Assistant Professor of Orthopedic and Trauma Surgery, Hand Surgeon, Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Tel. +98 (21) 88723403. E-mail: kamranir{at}sina.tums.ac.ir
• Kambiz Kiani, Assistant Professor of Orthopedic and Trauma Surgery, Hand Surgeon, Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Tel. +98 (21) 88723403. E-mail: kamranir{at}sina.tums.ac.ir
• Shahriar J. Mazlouman, Assistant Professor of Orthopedic and Trauma Surgery, Hand Surgeon, Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Tel. +98 (21) 88723403. E-mail: kamranir{at}sina.tums.ac.ir

Abstract

OBJECTIVE: To introduce a method that can be performed with minimal equipments available to most orthopedic surgeons and precludes the extensive anesthetic and ablative requirements. METHODS: A percutaneous lead tunnel was first established in the cortex next to the nidus under computerized tomography guidance with local anesthesia; then the nidus was curetted in the operating room through the lead tunnel. The study was performed in Shariati Hospital in Tehran, Iran, from September 2002 to December 2005. RESULTS: Nineteen patients were treated with this method with 94.7% cure rate. The diagnosis was histologically confirmed in 16 cases (84.2%). Failure occurred in one patient. The patients had a mean follow-up of 13.5 months with no recurrence of symptoms with mean hospitalization time of 1.6 days. CONCLUSION: This technique is simple, minimally invasive and effective. It needs no especial equipments and provides the material for tissue diagnosis.

Article Type

Research Article

First Page

607

Last Page

611

Recommended Citation

Kamrani, Reza S.; Kiani, Kambiz; and Mazlouman, Shahriar J. (2007) "A simple method for percutaneous resection of osteoid osteoma," Saudi Medical Journal: Vol. 28: Iss. 4, Article 21.
DOI: https://doi.org/10.15537/1658-3175.3866