Radiofrequency ablation in the treatment of osteoid osteoma: results and complications
| Autor: | Julie Chesterton, Erik King, Jeffrey Earhart, David S. Wellman, Joseph A. Janicki, James S. Donaldson |
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| Rok vydání: | 2012 |
| Předmět: |
Osteoid osteoma
Male medicine.medical_specialty Percutaneous Radiofrequency ablation medicine.medical_treatment Osteoma Osteoid Catheter ablation Bone Neoplasms law.invention law Pediatric hospital medicine Humans Radiology Nuclear Medicine and imaging Child Osteoma Neuroradiology Retrospective Studies business.industry Burns Electric Infant medicine.disease Surgery Radiography surgical procedures operative Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Catheter Ablation Female Radiology Complication business therapeutics Femoral Fractures |
| Zdroj: | Pediatric radiology. 43(7) |
| ISSN: | 1432-1998 |
| Popis: | Percutaneous radiofrequency ablation (RFA) for treatment of osteoid osteoma is effective and avoids the potential complications of open surgical resection. This study evaluates the efficacy of RFA at a single tertiary-care pediatric hospital and highlights an important complication.The medical records of 21 cases of RFA in 21 children between 2004 and 2010 were reviewed retrospectively for demographic data, lesion site, access point and technique for ablation, clinical outcome and complications.Clinical follow-up was available for 17/21 children (81%) at an average of 17.0 months (range 0.5-86.1 months). No persistence or recurrence of pre-procedural pain was noted. Two children (9.5%) had a complication, including a burn to the local skin and muscle requiring local wound care, and a late subtrochanteric femur fracture treated successfully with open reduction internal fixation.RFA is a safe and effective alternative to surgical resection of the osteoid osteoma nidus. When accessing the proximal femur, the risk of late post-procedural fracture must be considered and discussed with the family. An understanding of biomechanical principles in the proximal femur might provide an effective strategy for limiting this risk. |
| Databáze: | OpenAIRE |
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