Plečko M, Mahnik A, Dimnjaković D, Bojanić I. Arthroscopic removal as an effective treatment option for intra-articular osteoid osteoma of the knee. World J Orthop 2021; 12(7): 505-514 [PMID: 34354938 DOI: 10.5312/wjo.v12.i7.505]
Corresponding Author of This Article
Mihovil Plečko, MD, Doctor, Department of Orthopedic Surgery, University Hospital Centre Zagreb, Šalata 7, Zagreb 10000, Croatia. mplecko@kbc-zagreb.hr
Research Domain of This Article
Orthopedics
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Jul 18, 2021; 12(7): 505-514 Published online Jul 18, 2021. doi: 10.5312/wjo.v12.i7.505
Arthroscopic removal as an effective treatment option for intra-articular osteoid osteoma of the knee
Mihovil Plečko, Alan Mahnik, Damjan Dimnjaković, Ivan Bojanić
Mihovil Plečko, Alan Mahnik, Damjan Dimnjaković, Ivan Bojanić, Department of Orthopedic Surgery, University Hospital Centre Zagreb, Zagreb 10000, Croatia
Ivan Bojanić, Department of Orthopedic Surgery, School of Medicine, University of Zagreb, Zagreb 10000, Croatia
Author contributions: Bojanić I designed the study; Plečko M and Mahnik A participated in the acquisition of data; Plečko M, Dimnjaković D and Bojanić I analyzed the data, and drafted the initial manuscript; Mahnik A revised the article critically for important intellectual content; Plečko M, Mahnik A, Dimnjaković D and Bojanić I approved the final version of the article to be submitted.
Institutional review board statement: The study was approved by the Institutional Ethics Committee (8.1-20/187-2 No. 02/21 AG).
Informed consent statement: All participants agreed to be enrolled in the study.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mihovil Plečko, MD, Doctor, Department of Orthopedic Surgery, University Hospital Centre Zagreb, Šalata 7, Zagreb 10000, Croatia. mplecko@kbc-zagreb.hr
Received: February 27, 2021 Peer-review started: February 27, 2021 First decision: March 31, 2021 Revised: April 7, 2021 Accepted: July 12, 2021 Article in press: July 12, 2021 Published online: July 18, 2021 Processing time: 138 Days and 2.6 Hours
ARTICLE HIGHLIGHTS
Research background
Intra-articular osteoid osteoma of the knee is a rare entity that may present with non-specific symptoms and may lead to severe disability if left untreated. There are several treatment options, one of which is arthroscopic removal.
Research motivation
As there is a low number of reported cases of intra-articular osteoid osteoma of the knee, our goal was to report our results and further elaborate on the results available in the literature.
Research objectives
To analyze whether arthroscopic removal is an effective treatment option for intra-articular osteoid osteoma of the knee.
Research methods
A first case series ever of such patients was reported, as well as the review of all available cases in the literature that report on the same pathology and treatment options.
Research results
Both the case series and cases from the literature report that arthroscopic removal of intra-articular osteoid osteoma is an effective treatment option with a low chance for recurrence of the disease.
Research conclusions
Arthroscopic removal of intra-articular osteoid osteoma enables excision that is neither insufficient nor excessive, thus avoiding both recurrence of the disease, as well as chondral lesions and bone necrosis, while obtaining adequate material for histopathologic analysis. Therefore, it should be considered as a treatment option if physicians come across such a case.
Research perspectives
Future research will additionally clarify the efficiency of arthroscopic removal of intra-articular osteoid osteoma, possibly on a larger case series than reported in this article and in the literature so far.
