Intraoperative three-dimensional navigation for surgical treatment of osteoid osteoma in the foot and ankle – A series of 14 cases

Ron Gurel*, Nisan Amzallag, Amit Benady, Ben Efrima, Juan Barriga, Yair Gortzak, Amir Sternheim, Solomon Dadia, Nathan Hasbani, Ortal Segal

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The surgical treatment for osteoid osteoma (OO) in the foot and ankle is challenging. It is difficult to locate the lesion and the anatomy is crowded by sensitive structures. The purpose of this study was to describe the outcomes of navigated mini open-intralesional curettage (NMIC) or navigated minimally invasive radiofrequency ablation (NMRFA) in treating these lesions. Methods: All patients who underwent surgery for OO in the foot and ankle between 2015 and 2020 were included. O-arm navigation was used in All procedures. The choice of NMIC versus NMRFA was made by the surgeon according to the location of the lesion and its proximity to sensitive anatomic structures. Results: Fourteen patients were included. Ten were operated by NMRFA and 4 by NMIC. All patients’ symptoms related to OO resolved following a single procedure. Average AOFAS score increased by 18.7 (P < .001). Three patients had the following complications: pathologic fracture, superficial infection and transient deep peroneal nerve sensory loss. Conclusion: Navigated surgical treatment of OO in the foot and ankle is accurate, efficient and safe.

Original languageEnglish
Pages (from-to)1468-1472
Number of pages5
JournalFoot and Ankle Surgery
Volume28
Issue number8
DOIs
StatePublished - Dec 2022

Keywords

  • Intralesional curettage
  • Navigation
  • Nidus
  • Osteoid osteoma
  • Radiofrequency ablation

Fingerprint

Dive into the research topics of 'Intraoperative three-dimensional navigation for surgical treatment of osteoid osteoma in the foot and ankle – A series of 14 cases'. Together they form a unique fingerprint.

Cite this