Minimally invasive treatment of benign osteolytic bone lesions with a Hartmann ear speculum: A surgical technique - 05/07/24

Doi : 10.1016/j.otsr.2024.103920

Tugdual Pichon ^a, Rayane Benhenneda ^a, Louis Romée Le Nail ^a, Ramy Samargandi ^a,^b,⁎
^a Service de chirurgie orthopédique et traumatologie, CHRU de Tours, Tours, France
^b Orthopedic Surgery Department, College of Medicine, University of Jeddah, Jeddah, Saudi Arabia

^⁎Corresponding author at: Service de chirurgie orthopédique, hôpital Trousseau, CHRU de Tours, avenue de la République, Chambray-lès-Tours, 37044 Tours cedex 9, France.Service de chirurgie orthopédique, hôpital Trousseau, CHRU de Toursavenue de la République, Chambray-lès-ToursTours cedex 937044France

En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Friday 05 July 2024

Abstract

This study introduces a novel and simple minimally invasive technique for treating benign osteolytic bone lesions. The standard treatment involves lesion removal and cavity filling with various materials. Minimally invasive approaches, including arthroscopy and CT-guided injection, have been described, but they pose challenges such as X-ray exposure and expansiveness. In this study, a new minimally invasive technique using a Hartmann ear speculum is presented. The technique was successfully applied in 10 patients with various benign tumors, demonstrating full healing and no recurrence at one-year follow-up. The presented approach combines simplicity, cost-effectiveness, and minimal invasiveness, making it a promising alternative option for treating benign bone lesions with low complication rates and surgical site morbidity.