Intraoperative three-dimensional navigation for surgical treatment of osteoid osteoma in the upper extremity: A series of 19 cases.

Autor:	Gurel R; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Shehadeh K; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Elbaz E; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Benady A; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Factor S; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Ashkenazi I; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Gortzak Y; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Sternheim A; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Dadia S; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel., Segal O; Departments of Orthopedic Surgery and Orthopedic Oncology, Tel Aviv Sourasky Medical Center, affiliated with Tel Aviv University, Tel Aviv, Israel.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic surgery (Hong Kong) [J Orthop Surg (Hong Kong)] 2023 Sep-Dec; Vol. 31 (3), pp. 10225536231217123.
DOI:	10.1177/10225536231217123
Abstrakt:	The surgical treatment for osteoid osteoma (OO) in the upper extremity is challenging due to the difficulty in locating the lesion and the crowding of sensitive structures within the anatomy. This study aimed to describe the outcomes of navigated minimally invasive radiofrequency ablation and those of navigated mini open-intralesional curettage in treating these lesions. Nineteen consecutive patients with OO in the upper limb who underwent navigated surgery were included. The average QuickDASH and Numeric Pain Rating Scale improved from 62.2 ± 23.7 to 11.7 ± 16.9 and from 8.1 ± 1.6 to 0.5 ± 1.8, respectively ( p < .01 each) following the procedure. Two complications were recorded: one patient had persistent radial nerve palsy, and one patient had transient partial radial nerve weakness. In conclusion, navigation is an important tool in the surgical treatment of OO in the upper limb. A mini open approach to identify and protect neurovascular structures is recommended. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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