A comparison of percutaneous trephine excision and open surgery in the treatment of osteoid osteoma

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dc.contributor.authorAlemdar, Celil
dc.contributor.authorCacan, Mehmet Akif
dc.contributor.authorDusak, Abdurrahim
dc.contributor.authorOzkul, Emin
dc.contributor.authorAtic, Ramazan
dc.contributor.authorKapukaya, Ahmet
dc.date.accessioned2024-04-24T15:59:57Z
dc.date.available2024-04-24T15:59:57Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose The aim of this study was to compare CT-assisted percutaneous excision, which is a closed, economic method and a more cosmetic approach, and open surgery in the treatment of osteoid osteoma. Materials and methods Fifty-three patients (12 female and 41 male patients) who had percutaneous excision (n = 24) and open surgery (n = 29) were evaluated retrospectively. The mean age was 16.6 years and the mean duration of follow-up was 53.5 months. During percutaneous excision, a trephine was advanced through the labeling wire and the site, including the nidus, was excised en-bloc and the incision walls were curetted. During the open surgery, the localization of the nidus was marked using c-arm X-ray and the nidus was accessed by lifting the cortical bone, layer-by-layer, using burr. The nidus was excised and its cavity curetted. Results The result was successful in 22 and a failure in three patients who had closed excision. The result was successful in 20 and a failure in nine patients who had open surgery. The mean duration of operation was 44.37 minutes in the percutaneous excision group and 80.6 minutes in the open surgery group. There was no difference in the pre-operative VAS values between the two groups, whereas the post-operative VAS values were statistically significantly different. There was also a statistically significant difference in the duration of the operation and the length of the hospital stay between the groups. Conclusion Percutaneous excision with trephine is a more successful, effective, minimally invasive, safe and a better cosmetic approach in the treatment of osteoid osteoma. This method is also a cheap method that does not require expensive equipment.en_US
dc.identifier.doi10.1007/s00264-015-3044-8
dc.identifier.endpage1487en_US
dc.identifier.issn0341-2695
dc.identifier.issn1432-5195
dc.identifier.issue7en_US
dc.identifier.pmid26572883
dc.identifier.scopus2-s2.0-84947080925
dc.identifier.scopusqualityQ1
dc.identifier.startpage1481en_US
dc.identifier.urihttps://doi.org/10.1007/s00264-015-3044-8
dc.identifier.urihttps://hdl.handle.net/11468/14318
dc.identifier.volume40en_US
dc.identifier.wosWOS:000379028900019
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInternational Orthopaedics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOsteoid Osteomaen_US
dc.subjectPercutaneous Excisionen_US
dc.subjectMinimally Invasive Surgeryen_US
dc.subjectTrephineen_US
dc.subjectBenign Tumouren_US
dc.titleA comparison of percutaneous trephine excision and open surgery in the treatment of osteoid osteomaen_US
dc.titleA comparison of percutaneous trephine excision and open surgery in the treatment of osteoid osteoma
dc.typeArticleen_US

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