{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:37:13Z","timestamp":1769085433486,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T00:00:00Z","timestamp":1467849600000},"content-version":"vor","delay-in-days":67,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical outcomes of open surgery for osteoid osteoma with three\u2010dimensional (3\u2010<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>) <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\u2010arm scan under the guidance of computer navigation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinical data of 14 patients who had undergone 3\u2010<jats:styled-content style=\"fixed-case\">D C<\/jats:styled-content>\u2010arm scan under the guidance of computer navigation during open surgery for osteoid osteoma from <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2012 to <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2015 were analyzed retrospectively. There were nine male and five female subjects aged from 9 to 55\u2009years (mean, 26\u2009years). Eight of the tumors were located in the femur, four in the tibia, one in the humerus and one in the scapula. Preoperative pain visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) scores ranged from 2 to 6 (mean \u00b1\u2009SD, 4.7\u2009\u00b1\u20091.1). Conventional surgical approaches were used to expose the tumor surfaces depending on their locations. Involved regions were scanned by 3\u2010<jats:styled-content style=\"fixed-case\">D C<\/jats:styled-content>\u2010arm fluoroscopy during the procedure and then the tumors were accurately located and their niduses removed under the guidance of computer navigation. Afterwards, repeat 3\u2010<jats:styled-content style=\"fixed-case\">D C<\/jats:styled-content>\u2010arm scans of the surgical region were performed to confirm tumor eradication. None of the patients received postoperative intravenous analgesia. Eight patients received oral non\u2010steroidal anti\u2010inflammatory drugs on the day of surgery, these drugs being discontinued on the second postoperative day. Postoperative pathological diagnoses were recorded. At the follow\u2010up visits, imaging and <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> scores were obtained to evaluate the therapeutic effect and any evidence of recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All the patients successfully underwent computer navigation\u2010guided surgery. The duration of surgery ranged from 60 to 135\u2009min (mean, 94\u2009min) and the amount of bleeding from 50 to 150\u2009mL (mean, 80\u2009mL). None of the patients needed bone grafting or internal fixation. No complications were seen. All patients were followed up for 4 to 36\u2009months (mean, 16\u2009months). Postoperative pathological diagnoses of osteoid osteoma were made in 12 patients; thus, the rate of pathologically confirmed diagnosis was 86%. <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> scores decrease to an average of 1.4\u2009\u00b1\u20090.6 3\u2009days after surgery and were zero for all patients 4\u2009months after surgery. No tumor recurrence was found by <jats:styled-content style=\"fixed-case\">X<\/jats:styled-content>\u2010ray or <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> scan examination during follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The niduses of osteoid osteomas can be eradicated by open surgery with 3\u2010<jats:styled-content style=\"fixed-case\">D C<\/jats:styled-content>\u2010arm scan under the guidance of computer navigation with minimal damage to bone structure and a high rate of pathologically confirmed diagnoses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12233","type":"journal-article","created":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T11:04:11Z","timestamp":1467889451000},"page":"205-211","source":"Crossref","is-referenced-by-count":11,"title":["Open Surgery for Osteoid Osteoma with Three Dimensional <scp>C<\/scp>\u2010arm Scan under the Guidance of Computer 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