Surgical results in cases of osteoid osteoma: a single-center retrospective study

Abstract

Aims: This study aims to evaluate the clinical, radiological, and histological findings of patients who were treated for osteoid osteoma and discusses the diagnostic stages and surgical results of patients treated for osteoid osteoma. Methods: A retrospective examination was made of 38 patients who were treated in the Orthopedics and Traumatology Clinic of the 3rd Step University Hospital and diagnosed with osteoid osteoma between January 2010 and January 2023. The patients' demographic data and clinical, radiological, and histopathological evaluations were recorded. Results: In the surgical treatment of the 38 patients in this study, the nidus was excised with the en-bloc resection method or burr-down-assisted intralesional curettage. In the follow-up examination, a patient had a superficial wound site infection on the 14th day postoperatively, and daily dressings and antibiotic treatment were recommended. A significant decrease in pain was observed in 35 patients at the end of the month. In 2 patients, the pain had not recovered at the end of 6 months follow-up. After the second operation, all patients experienced significant relief from pain. Conclusion: Osteoid osteoma is a benign osteoblastic tumor primarily affecting young adults. Despite its benign nature, it often presents with localized nocturnal pain that is relieved by anti-inflammatory drugs. Treatment must be the complete removal of the nidus. Treatment options are evaluated according to the anatomical localization of the lesion.