Abstract
OBJECTIVE: To introduce a method that can be performed with minimal equipments available to most orthopedic surgeons and precludes the extensive anesthetic and ablative requirements.
METHODS: A percutaneous lead tunnel was first established in the cortex next to the nidus under computerized tomography guidance with local anesthesia; then the nidus was curetted in the operating room through the lead tunnel. The study was performed in Shariati Hospital in Tehran, Iran, from September 2002 to December 2005.
RESULTS: Nineteen patients were treated with this method with 94.7% cure rate. The diagnosis was histologically confirmed in 16 cases (84.2%). Failure occurred in one patient. The patients had a mean follow-up of 13.5 months with no recurrence of symptoms with mean hospitalization time of 1.6 days.
CONCLUSION: This technique is simple, minimally invasive and effective. It needs no especial equipments and provides the material for tissue diagnosis.
- Copyright: © Saudi Medical Journal
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