Therapeutic effect analysis for open resection in osteoid osteoma around lesser trochanter of femur.
10.11817/j.issn.1672-7347.2016.12.007
- Author:
Xiaoning GUO
1
;
Xiaoyang LI
1
;
Zhihong LI
1
;
Dan PENG
1
;
Xiangsheng ZHANG
1
;
Qing ZHANG
1
Author Information
1. Department of Orthopaedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Bone Neoplasms;
complications;
surgery;
Child;
Cortical Bone;
pathology;
Female;
Femur;
pathology;
surgery;
Humans;
Male;
Osteoma, Osteoid;
complications;
surgery;
Pain;
etiology;
surgery;
Periosteum;
pathology;
Retrospective Studies;
Tomography, X-Ray Computed;
Treatment Outcome
- From:
Journal of Central South University(Medical Sciences)
2016;41(12):1291-1296
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the radiological features of osteoid osteoma around lesser trochante of femur, and to analyze the outcomes of treatment with open surgery.
Methods: From July 2013 to August 2015, 14 patients (9 males, 5 females) with osteoid osteoma around lesser trochanter were retrospectively reviewed. The ages of patients were 9-44 (average 20) years old. The duration of symptom was 3-36 (average 8) months. After the X-ray plain radiography, CT and MR, all patients underwent open resection. No intense exercise was allowed in the first three months after the operation.
Results: There were 9 cases of cortical type, and 5 cases of subperiosteal type. The niduses were found by plain radiographs in 9 patients. By CT scan, the niduses were found in all 14 patients. The average pre-operative visual analogue scale (VAS) without NSAIDs was 6.5. One month after the operation, the average VAS was 0 for all patients. The follow up time for all patients was 9-34 (average 20) months. No recurrence, infection, neurovascular injury or fracture was found during the follow up.
Conclusion: Open resection is a feasible method for osteoid osteoma around lesser trochanter of femur with satisfied outcome and low complication rate.
