Radiofrequency Ablation in Chondroblastoma of the Femoral Headin Skeletally Immature Individuals: A Case Report

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Published: Sep 20, 2017
DOI: https://doi.org/10.31524/bkkmedj.2017.09.010

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Samatit Pornwattanavate, MD
Olarn Arpornchayanon, MD
Sirichai Luevitoonvechkij, MD
Dumnoensun Pruksakorn, MD

Abstract

Surgical management of chondroblastoma of the femoral head in skeletal immaturityis challenging due to difficult access and a risk of epiphyseal plate injury. A 13-year oldboy presented with left hip pain and limping for over 1 year. Based on imaging andpathology report, chondroblastoma was diagnosed. The size of the tumor was 1.7 cmin diameter. To avoid epiphyseal plate and articular damage, percutaneous radiofrequencyablation was performed under fluoscopic guidance with a 70o Celsius monopolar probefor 3 minutes’ duration repeated 3 times. The 2nd ablation procedure was performedafter 3 months to minimize risk of recurrence. The pain had subsided at the 3 monthsfollow up. Over the 4 years follow up period, this case shows good functional outcomewithout deformity of the femoral head or tumor recurrence.

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How to Cite
1.
Pornwattanavate S, Arpornchayanon O, Luevitoonvechkij S, Pruksakorn D. Radiofrequency Ablation in Chondroblastoma of the Femoral Headin Skeletally Immature Individuals: A Case Report. BKK Med J [Internet]. 2017 Sep. 20 [cited 2024 Nov. 22];13(2):61. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221938
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Vol. 13 No. 2 (2017): September
Section
Case Report

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References

1. De Mattos CB, Angsanuntsukh C, Arkader A, et al. Chondroblastoma and chondromyxoid fibroma. J Am Acad Orthop Surg 2013;21(4):225-33.
2. Erickson JK, Rosenthal DI, Zaleske DJ, et al. Primary treatment of chondroblastoma with percutaneous radiofrequency heat ablation: report of three cases. Radiology 2001;221(2):463-8.
3. Lalam RK, Cribb GL, Tins BJ, et al. Image guided radiofrequency thermo-ablation therapy of chondroblastomas: should it replace surgery? Skeletal Radiol 2014;43(4): 513-22.
4. Rybak LD, Rosenthal DI, Wittig JC. Chondroblastoma: radiofrequency ablation--alternative to surgical resection in selected cases. Radiology 2009;251(2):599-604.
5. Tins B, Cassar-Pullicino V, McCall I, et al. Radiofrequency ablation of chondroblastoma using a multi-tined expandable electrode system: initial results. Eur Radiol 2006;16(4):804-10.
6. Strong DP, Grimer RJ, Carter SR, et al. Chondroblastoma of the femoral head: management and outcome. Int Orthop 2010;34(3):413-7.
7. Petsas T, Megas P, Papathanassiou Z. Radiofrequency ablation of two femoral head chondroblastomas. Eur J Radiol 2007;63:63-7.
8. Christie-Large M, Evans N, Davies AM, et al. Radiofrequency ablation of chondroblastoma: procedure technique, clinical and MR imaging follow up of four cases. Skeletal Radiol 2008;37(11):1011-7.
9. Rajalakshmi P, Srivastava DN, Rastogi S, et al. Bipolar radiofrequency ablation of tibial chondroblastomas: A report of three cases. World J Radiol 2012;4(7):335-40.