Indian Journal of Radiology and Imaging Indian Journal of Radiology and Imaging

VASCULAR AND INTERVENTIONAL
Year
: 2009  |  Volume : 19  |  Issue : 1  |  Page : 36--42

Percutaneous radiofrequency ablation for osteoid osteoma: How we do it


Bhavin Jankharia, Nishigandha Burute 
 Radiologists, Piramal Diagnostics - Jankharia Imaging, India

Correspondence Address:
Bhavin Jankharia
Bhaveshwar Vihar, 383 Sardar V P Rd, Mumbai-400 004
India

Aims and Objectives: To describe our technique for performing radiofrequency ablation (RFA) in osteoid osteoma and to evaluate the results of treatment. Materials and Methods: We evaluated 40 patients in whom RFA was performed for osteoid osteomas between October 2005 and February 2008. The lesions were located in the femur (n = 22), tibia (n = 10), humerus (n = 2), acetabulum (n = 2), radius (n = 1), fibula (n = 1), patella (n = 1), and calcaneum (n = 1). The procedure was performed using a standard technique. Results: Technical success was achieved in all patients, with intranidal localization of the needle and complete ablation. All patients were fully weight bearing 2-3 h after the procedure. Successful pain relief was achieved in all patients within 48 h. Immediate complications included a case of minor thermal skin burn and a small cortical chip fracture, which healed on its own. There were no delayed complications. The average follow-up period was 12 months. Two patients (5% of cases) had recurrence of pain after intervals of 5 and 8 months, respectively, following the ablation; this was due to recurrence of the lesion. Complete pain relief was however achieved after a second ablation in both cases. Thus, our primary and secondary clinical success rates were 95 and 100%, respectively. Conclusion: RFA is a safe, quick, minimally invasive, and extremely effective method for the management of osteoid osteomas.


How to cite this article:
Jankharia B, Burute N. Percutaneous radiofrequency ablation for osteoid osteoma: How we do it.Indian J Radiol Imaging 2009;19:36-42


How to cite this URL:
Jankharia B, Burute N. Percutaneous radiofrequency ablation for osteoid osteoma: How we do it. Indian J Radiol Imaging [serial online] 2009 [cited 2020 Aug 7 ];19:36-42
Available from: http://www.ijri.org/article.asp?issn=0971-3026;year=2009;volume=19;issue=1;spage=36;epage=42;aulast=Jankharia;type=0