Volume 24, Issue 105, September - October, 2020

Post radiofrequency full thickness burn in a case of osteoid osteoma of ulna: A case report and review of literature

Aditya Kekatpure¹, Naresh Dhaniwala², Aashay Kekatpure^3♦, Abhiram Awasthi⁴, Suvarn Gupta⁵, Sunil Nikose⁶, Kiran Saoji⁷, Priyank Bhatt⁸, Ulhas Dudhekar⁹

¹Assistant Professor, Department of Orthopaedics, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India; Email: adityalkekatpure@gmail.com
²Professor, Department of Orthopaedics, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India; Email: nsdhaniwala@gmail.com
³Associate Professor, Department of Orthopaedics, NKP Salve Institute of Medical Sciences and Research Center, Nagpur, Maharastra, India; Email: dr.aashayk@gmail.com
⁴Junior Resident, Department of Orthopaedics, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India; Email: abhiram.awasthi2@gmail.com
⁵Senior Resident, Department of Orthopaedics, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India; Email: suvarn27@gmail.com
⁶Professor, Department of Orthopaedics, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India; Email: sunilnikose@gmail.com
⁷Professor and Head of Department, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India; Email: kiran.saoji@gmail.com
⁸Resident, Department of Orthopaedics, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India; Email: pulse.priyank@gmail.com
⁹Associate Professor, Department of Orthopaedics, JNMC, DMIMS, Sawangi, Wardha, Maharastra, India

^♦Corresponding author
Associate Professor, Department of Orthopaedics, NKP Salve Institute of Medical Sciences and Research Center, Nagpur, Maharastra, India; Email: dr.aashayk@gmail.com

ABSTRACT

Case: 33-year-old male was diagnosed as a case of Osteoid Osteoma of right Ulna based on clinical history and radiological investigation. After failed conservative management, the patient opted for radiofrequency ablation (RFA) as a treatment option. Two weeks post procedure; the patient developed a deep full thickness skin necrosis at the procedure site. The wound was managed with debridement and negative Pressure wound therapy (NPWT) followed by secondary wound closure. Conclusions: Full thickness thermal skin necrosis is one of the rare potential complications of RFA. NPWT can play an important role and hasten wound healing in such cases.

Keywords: Osteoid osteoma, negative Pressure wound therapy, radiofrequency ablation

Medical Science, 2020, 24(105), 3270-3276

PDF