Bavaneh Motasım K, Kiyak Gorkem, Balikci Tevfik
Dept. of Orthopaedic Surgery, Atasehir Avicenna Hospital, kayısdagı cad. No. 47, Atasehir, Istanbul, Turkey.
Dept. of Orthopaedic Surgery, Academic Hospital, Nuhkuyusu cad. No: 94 34664, Üsküdar, Istanbul, Turkey.
J Orthop. 2018 May 17;15(3):768-771. doi: 10.1016/j.jor.2018.05.036. eCollection 2018 Sep.
Osteoid osteoma is an uncommon benign tumor and causes severe pain, being worse at night, that responds dramatically to nonsteroidal anti-inflammatory medications. An osteoid osteoma of the patella is very rare and if it arise close to chondral surface differential diagnosis may be challenging. In three patients the osteoid osteoma was completely excised by nidus removal by mosaicoplasty set with open surgical technique. The patients were followed up in average for 31 (16-48 months) months with annual clinical and radiographic evaluations. There were no relapse of the pain and no residual recurrent tumor. The aim of the treatment for osteoid osteoma is to remove entire nidus by open surgical excision or by percutaneous procedures such as percutaneous radiofrequency and laser ablation. Mosaicoplasty is a good alternative for treatment of osteoid osteoma of the patella in the subchondral bone.
骨样骨瘤是一种罕见的良性肿瘤，会引起严重疼痛，夜间加重，对非甾体类抗炎药反应显著。髌骨骨样骨瘤非常罕见，如果其发生在靠近软骨表面的位置，鉴别诊断可能具有挑战性。在3例患者中，采用开放手术技术，使用镶嵌成形术切除瘤巢，将骨样骨瘤完全切除。对患者平均随访31（16 - 48个月）个月，每年进行临床和影像学评估。疼痛无复发，也无残留复发性肿瘤。骨样骨瘤的治疗目的是通过开放手术切除或经皮手术（如经皮射频和激光消融）切除整个瘤巢。镶嵌成形术是治疗髌骨软骨下骨骨样骨瘤的一种良好替代方法。
