J Korean Orthop Assoc.  2016 Feb;51(1):85-90. 10.4055/jkoa.2016.51.1.85.

Clinical and Radiographic Outcomes of Simple Curettage and Graft Using Allogenic Bone or Bone Substitute for Enchondroma Involving Short Tubular Bone of the Hand and Foot

Affiliations
  • 1Department of Orthopaedic Sugary, Uijeongbu St. Mary's Hospital, School of Medicine, The Catholic University of Korea, Uijeongbu, Korea. wjbahk@cmc.cuk.ac.kr

Abstract

PURPOSE
We analyzed outcomes after management of enchondroma involving short tubular bones of the hand and foot by curettage and grafting using allogenic bone or bone substitutes.
MATERIALS AND METHODS
Twenty-two patients (allogenic bone 15 and bone substitutes 7 patients) were recruited. Clinical results were assessed by pain, cosmetic problem, range of motion of joint and the power of grasp. Radiographic outcomes were analyzed by degree of bone defect.
RESULTS
Clinically, 19 patients were classified as excellent and 3 patients as good. Three patients with K-wire fixation had pain with local irritation, which was easily controlled by removal of the K-wires. There were no complications including deep infection, delayed or nonunion, refracture. Radiographically, 20 cases were classified as group 1 (bone defect smaller than 3 mm) and the 2 remaining cases were classified as group 2 (bone defect 4-10 mm).
CONCLUSION
Curettage and graft using allogenic bone or bone substitute is an effective modality of treatment for enchondroma involving short tubular bones of the hand and foot. When combined with pathologic fracture, early surgical management could shorten duration of immobilization. Surgical management might be considered for the lesion involving the foot when discovered because of high incidence of pathologic fracture.

Keyword

enchondroma; allogenic bone; bone substitutes; hand and foot
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