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Percutaneous CT-guided radio-frequency ablation of osteoid osteoma of the foot and ankle

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Percutaneous radiofrequency ablation (RFA) has been considered, in recent years, the standard treatment for osteoid osteoma (OO) of the appendicular skeleton. The variable clinical presentations in the foot and ankle pose problems in diagnosis, localization and thus treatment. The aim of this study was to assess the efficacy of RFA for patients with osteoid osteoma of the foot and ankle.

Materials and methods

A total of 29 patients (22 males, 7 females; mean age 16.7 years; range 8–44 years) with OO of the foot and ankle (distal tibia, n = 17; distal fibula, n = 6; talus, n = 3; calcaneus, n = 3) were enrolled in the study. A CT-guided RFA was performed, using a cool-tip electrode without the cooling system, heating the lesion up to 90 °C for 4–5 min. Clinical success, assessed at a minimum follow-up of 1 year, was defined as complete or partial pain relief after RFA. Pain and clinical outcomes were scored pre-operatively and at the follow-up with a visual analogue scale (VAS) and with the American Orthopaedic Foot and Ankle Society (AOFAS) score. Complications and local recurrences were also recorded.

Results

Clinical success was achieved in 26 patients (89.6 %). After RFA, mean VAS and AOFAS score significantly improved from 8 ± 1 to 2 ± 1 (p < 0.05) and from 60.7 ± 12.7 to 89.6 ± 7.1 (p < 0.05), respectively. Two patients experienced partial relief of pain and underwent a second successful ablation. Local recurrences were found in three patients, always associated with pain. These underwent conventional excision through open surgery. No early or late complications were detected after RFA.

Conclusion

CT-guided RFA of foot and ankle osteoid osteoma is a safe and effective procedure, showing similar results for the rest of the appendicular skeleton.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of General Orthopaedics and Tumororthopaedics, University Hospital, 48149, Muenster, Germany

    Kiriakos Daniilidis, G. Gosheger, S. Hoell, M. Henrichs, B. Vogt & J. Hardes

  2. Istituto Ortopedico Galeazzi, Milan, Italy

    N. Martinelli

  3. Department of Radiology, University Hospital, Muenster, Germany

    V. Vieth

Authors
  1. Kiriakos Daniilidis
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  2. N. Martinelli
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  3. G. Gosheger
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  4. S. Hoell
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  5. M. Henrichs
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  6. B. Vogt
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  7. J. Hardes
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  8. V. Vieth
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Correspondence to Kiriakos Daniilidis.

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Daniilidis, K., Martinelli, N., Gosheger, G. et al. Percutaneous CT-guided radio-frequency ablation of osteoid osteoma of the foot and ankle. Arch Orthop Trauma Surg 132, 1707–1710 (2012). https://doi.org/10.1007/s00402-012-1614-4

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  • DOI: https://doi.org/10.1007/s00402-012-1614-4

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