Proximal Femur Osteoid Osteoma Treatment: CT Guided Drilling or Excision?

Abstract

Objective: This study aims to report the results of 16 patients having proximal femur osteoid osteoma who were treated with CT guided mini-open excision, drilling, or x-ray guided excision Method: 16 patients receiving surgical treatment (7 CT guided mini-open excision, 6 CT guided percutaneous drilling, 3 Scopy guided mini-open excision) who were followed for at least one year were evaluated. Preoperative and latest follow-up VAS pain scoring and degree (0-10 point) or level (1 ‘high to 4 ‘worse’) of patient satisfaction were analyzed. Results: Mean postoperative VAS pain score (0.7±1.1) was lower compared to pre-operative values (8±1) (p: 0.0004). The mean level and point of satisfaction were 1.3±0.6 and 8±2 points. There was no difference between CT-guided mini-open excision or Ct-guided percutaneous drilling for any parameter. There was not any recurrence or major complication during follow-up. Conclusion: Although histological verification of the lesion was more obvious in the CT-guided excision group, both groups resulted in similar relief of pain and high satisfaction at all patients with no recurrence of symptoms or major complications.