Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis
Radio frequency ablation (RFA) is a minimally invasive technique that has become recognized in clinical practice for treating chondroblastoma, although curettage with bone graft is the standard treatment. Chondroblastoma is a locally aggressive cartilaginous bone tumor, representing nearly 5% of ben...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-12-01
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| Series: | Indian Journal of Radiology and Imaging |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755248 |
| _version_ | 1811322676060356608 |
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| author | Sarmad Rasheed Khalil Sulaiman Shadha Abobakr Mohammed Al-Zubaidi Amal Abdelsattar Sakrana |
| author_facet | Sarmad Rasheed Khalil Sulaiman Shadha Abobakr Mohammed Al-Zubaidi Amal Abdelsattar Sakrana |
| author_sort | Sarmad Rasheed Khalil Sulaiman |
| collection | DOAJ |
| description | Radio frequency ablation (RFA) is a minimally invasive technique that has become recognized in clinical practice for treating chondroblastoma, although curettage with bone graft is the standard treatment. Chondroblastoma is a locally aggressive cartilaginous bone tumor, representing nearly 5% of benign bone tumors. Chondroblastoma shows a preference toward the epiphysis or apophysis of long bones, but it was also reported in vertebrae and flat bones. The management of chondroblastoma could be challenging due to the risk to injure the epiphyseal plate or difficult location. The aim of this study was to determine if RFA is a suitable alternative to curettage with bone graft for the treatment of chondroblastoma. Moreover, there will be an evaluation of RFA's effectiveness in terms of symptoms relief; we also define the proper size of the lesion to be treated with RFA, and discuss the complications after the procedure, including the recurrence rate. Furthermore, we review the best imaging method to evaluate the therapeutic response of RFA and for the detection of residual disease early after the ablation. A comprehensive PubMed and Google Scholar search followed the Preferred Reporting Items for Systematic Review and Meta-Analysis 2020 checklist guidelines. Ninety-seven patients were identified after reviewing the available full texts of nine articles. The results of the current review provide further evidence to support the use of RFA as an alternative option to surgery. |
| first_indexed | 2024-04-13T13:40:04Z |
| format | Article |
| id | doaj.art-71d8361f0b374f59ba98c1cd4f35e684 |
| institution | Directory Open Access Journal |
| issn | 0971-3026 1998-3808 |
| language | English |
| last_indexed | 2024-04-13T13:40:04Z |
| publishDate | 2022-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Radiology and Imaging |
| spelling | doaj.art-71d8361f0b374f59ba98c1cd4f35e6842022-12-22T02:44:40ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082022-12-01320452353010.1055/s-0042-1755248Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-AnalysisSarmad Rasheed Khalil Sulaiman0Shadha Abobakr Mohammed Al-Zubaidi1Amal Abdelsattar Sakrana2Department of Orthopaedic Surgery, King Salman Medical City, Al Madina Al Munawara Hospital, Medina, Saudi ArabiaDepartment of Diagnostic Imaging, Madina Cardiac Centre, Medina, Saudi ArabiaDepartment of Diagnostic and Interventional Radiology, Mansoura University Hospital, Mansoura, EgyptRadio frequency ablation (RFA) is a minimally invasive technique that has become recognized in clinical practice for treating chondroblastoma, although curettage with bone graft is the standard treatment. Chondroblastoma is a locally aggressive cartilaginous bone tumor, representing nearly 5% of benign bone tumors. Chondroblastoma shows a preference toward the epiphysis or apophysis of long bones, but it was also reported in vertebrae and flat bones. The management of chondroblastoma could be challenging due to the risk to injure the epiphyseal plate or difficult location. The aim of this study was to determine if RFA is a suitable alternative to curettage with bone graft for the treatment of chondroblastoma. Moreover, there will be an evaluation of RFA's effectiveness in terms of symptoms relief; we also define the proper size of the lesion to be treated with RFA, and discuss the complications after the procedure, including the recurrence rate. Furthermore, we review the best imaging method to evaluate the therapeutic response of RFA and for the detection of residual disease early after the ablation. A comprehensive PubMed and Google Scholar search followed the Preferred Reporting Items for Systematic Review and Meta-Analysis 2020 checklist guidelines. Ninety-seven patients were identified after reviewing the available full texts of nine articles. The results of the current review provide further evidence to support the use of RFA as an alternative option to surgery.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755248chondroblastomacartilaginouscartilagebone tumorradio frequency ablation |
| spellingShingle | Sarmad Rasheed Khalil Sulaiman Shadha Abobakr Mohammed Al-Zubaidi Amal Abdelsattar Sakrana Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis Indian Journal of Radiology and Imaging chondroblastoma cartilaginous cartilage bone tumor radio frequency ablation |
| title | Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis |
| title_full | Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis |
| title_fullStr | Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis |
| title_full_unstemmed | Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis |
| title_short | Radio Frequency Ablation for the Treatment of Appendicular Skeleton Chondroblastoma: Is It an Excellent Alternative? Systematic Review and Meta-Analysis |
| title_sort | radio frequency ablation for the treatment of appendicular skeleton chondroblastoma is it an excellent alternative systematic review and meta analysis |
| topic | chondroblastoma cartilaginous cartilage bone tumor radio frequency ablation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755248 |
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