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

IF 1.6 4区 医学 Journal of Orthopaedic Surgery Pub Date : 2023-09-01 DOI:10.1177/10225536231217123
Ron Gurel, Kathrine Shehadeh, Etay Elbaz, Amit Benady, Shai Factor, Itay Ashkenazi, Yair Gortzak, Amir Sternheim, Solomon Dadia, Ortal Segal
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Abstract

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.

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术中三维导航在上肢类骨瘤手术治疗中的应用:附19例报告。
上肢骨样骨瘤(OO)的手术治疗具有挑战性,因为难以定位病变和解剖结构内敏感结构的拥挤。本研究旨在描述导航微创射频消融术和导航微型开放病灶内刮除术治疗这些病变的结果。我们纳入了19例连续接受导航手术的上肢OO患者。手术后,QuickDASH和数字疼痛评定量表的平均评分分别从62.2±23.7提高到11.7±16.9,从8.1±1.6提高到0.5±1.8 (p均< 0.01)。记录了2例并发症:1例持续性桡神经麻痹,1例暂时性部分桡神经无力。综上所述,导航是上肢OO手术治疗的重要工具。建议采用小型开放入路来识别和保护神经血管结构。
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期刊介绍: Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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