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Fırat Tıp Dergisi
2010, Cilt 15, Sayı 2, Sayfa(lar) 087-091
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The Surgical Treatment Results of Cases with Osteoid Osteoma Localized in Long Bones
Oktay BELHAN1, H. Bayram TOSUN1, Lokman KARAKURT1, Erhan YILMAZ1, Erhan SERİN4, Mehmet BULUT2, Hanefi YILDIRIM3
1Fırat Üniversitesi Hastanesi, Ortopedi ve Travmatoloji AD., ELAZIĞ, Türkiye
2Dicle Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji AD., DİYARBAKIR, Türkiye
3Fırat Üniversitesi Hastanesi, Radyoloji AD., ELAZIĞ, Türkiye
4Acıbadem Hastanesi, Ortopedi ve Travmatoloji Kliniği, ADANA, Türkiye

Objective: The evaluation of various surgical treatment results performed to cases with long bones localized osteoid osteoma retrospectively.

Materials and Methods: Ten patients (5 male, 5 female; mean age 21; range 13-35) who underwent surgical treatment because of long bones localized osteoid osteoma were evaluated retrospectively. Osteoid osteomas were localized as femur shaft in 5 cases, as tibia shaft in 2 cases, as femur neck in 1 case and as humerus shaft in 2 cases. There was a history of night pain responding to non-steroid antiinflammatory drugs (NSAİİ) in 6 cases. In surgical treatment, nidus was completely excised by wide-block resection, burr-down technique.

Results: With osteoid osteoma diagnosis, nidus excision was applied with wide-block resection to 5 cases and burr-down technique to 5 cases. The spongious allografts were applied in three cases because of the weaken of bone at the during surgery, and spongious allografts with internal fixation were applied in two cases for the risk of pathological fracture No complications were encountered in any cases during and after the operation. In their last controls, cases were completely asymptomatic and there was no recurrence in any of them.

Conclusion: We think that, by determining the location of nidus exactly before and during the operation and excision of nidus completely, sufficient and effective results could be obtained in osteoid osteoma treatment.

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