Role of Radiofrequency Ablation in the Management of Osteoid Osteoma | ||
| Aswan University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 06 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2025.358937.1188 | ||
| Authors | ||
| Abdelrhman Mohamed Yousef* 1; Omar Abdelaziz Ahmed2; Salah M. Maklad3; Ebeed Yassin4 | ||
| 1Demonstrator of Diagnostic and Interventional Radiology, Faculty of Medicine, Aswan University. | ||
| 2Professor of diagnostic and interventional radiology , faculty of Medicine, Cairo University | ||
| 3Assistant professor of diagnostic and interventional radiology, Faculty of Medicine, Aswan University. | ||
| 4Assistant professor of orthopedic surgery, Faculty of Medicine, Aswan University. | ||
| Abstract | ||
| Background: Osteoid osteoma is a benign bone tumor composed of a nidus of woven bone and osteoid surrounded by osteoblasts and reactive zone of thickened cortical or trabecular bone and loose fibrovascular tissue. Purpose: assessment the validity of radiofrequency ablation in managing osteoid osteoma. Methods: This prospective study was conducted on 30 osteoid osteoma patients aged 4 to 37 years. All patients complained of night pain underwent X-rays, CT scans, bone scintigraphy, and MRI to confirm the diagnosis of osteoid osteoma. The lesion was heated to 90 degrees Celsius for 4-5 minutes. Post-procedure evaluations: decrease NSAIDs need and resolve swelling after radiofrequency ablation. Results: The mean age of patients was 17 years, predominantly male distribution (60%). Most tumors were cortical (86.7%), located in the diaphysis (70%), the femur was the most affected bone (46.7%). The mean pre-procedure pain score was 7, which decreased to 1.3 in the first week and 0.9 in the 6th-month post-procedure. NSAID use decreased from 100% pre-procedure to only 10% post-procedure. In 76.7% of patients, the nidus size decreased and improved sclerosis. Conclusions: RFA is a highly effective and minimally invasive treatment for osteoid osteoma with quick recovery. | ||
| Keywords | ||
| RFA; OO; minimally invasive treatment | ||
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