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Peripheral osteoid osteoma

IS THERE STILL A PLACE FOR TRADITIONAL SURGERY?

¹ Department of Orthopaedics, University of Vienna, Währinger Gürtel 18–20, A-1090 Vienna, Austria.
² Department of Orthopaedics, University of Graz, Auenbruggerplatz 29, A-8036 Graz, Austria.

Correspondence should be sent to Dr M. Sluga.

We treated 106 patients with a peripheral osteoid osteoma by conventional surgical methods; 81 had curettage and 25 en-bloc resection.

The rate of local recurrence after curettage was 12% and after en-bloc resection 4.5%. Postoperative fractures were observed in 3% after curettage and in 4.5% after en-bloc resection.

We compared our findings with those reported in the literature after minimally invasive treatment and concluded that curettage can be regarded as the treatment of choice in patients in whom minimally invasive methods do not offer any advantage, for example, for subperiosteal tumours which are readily accessible, or when the diagnosis is unclear and further histological analysis is required.