Enjekte edilebilir kalsiyum fosfat çimentosu ile tedavi edilen el enkondromları

Yıl 2019, Cilt: 12 Sayı: 1, 115 - 121, 18.01.2019

Ali Çağdaş Yörükoğlu Alp Akman Ali Kitiş Hande Usta Ahmet Fahir Demirkan

https://doi.org/10.31362/patd.484519

Öz

Amaç: Bu
çalışmanın amacı el enkondromlarının küretajı ve defektin enjekte edilebilir
kalsiyum fosfat çimentosu ile tedavi sonuçlarının değerlendirilmesidir.

 

Gereç yöntem: Bu
retrospektif çalışmaya 16 hasta dahil edilmiştir. Radyolojik, klinik (ağrı
değerleri, eklem hareket açıklıkları) ve fonksiyonel sonuçları (Quick-DASH
skorları, kaba ve ince kavrama güçleri) değerlendirilmiştir.

 

Bulgular: Operasyon sonrası hastaların ortalama ağrı skorlarında
anlamlı bir azalma saptandı. Bir hasta haricinde tüm hastaların tam eklem
hareket açıklığına sahip olduğu saptandı. Yedi hastada yeni kemik oluşumu meydana
geldi. Hiçbir hastada ektopik kemikleşme, yara yeri enfeksiyonu ve nüks
gözlenmedi. Postoperatif ortalama Quick-DASH skoru 7,3±11,9 idi. Sağlam
ekstremite ile karşılaştırıldığında kaba kavrama gücünün %90 ’ının ve pinç
kuvvetinin %85-100 ’ünün geri kazanıldığı saptandı.

 

Sonuç: Kalsiyum fosfat
çimentosu donör alan morbiditesinin olmaması, erken aktiviteye izin vermesi ve
iyi fonksiyonel sonuçlar ile el enkondromlarının tedavisinde değerli bir tedavi
alternatifi olduğu düşünülmektedir.

Anahtar Kelimeler

Kalsiyum fosfat çimentosu, el enkondromları, iyi huylu tümör

Hand enchondromas treated with injectable calcium phosphate cement

Öz

Purpose: The purpose of this
study was to evaluate the results of hand enchondroma patients treated by
curettage and then filling of the defect with injectable calcium phosphate
cement.

Material and Methods:
16 patients were included in this retrospective study. The radiological,
clinical (pain
intensity, range of motion) and functional outcomes (Quick-DASH, grip and pinch
strengths) were evaluated.

Results: There was a significant
reduction in mean pain scores post operatively. All
patients had full range of motion except 1 patient. New
bone formation occurred in seven patients. Ectopic ossification, wound
infection and recurrence were not observed in any patient. The mean Quick-DASH
score was 7.3±11.9 postoperatively. 90% recovery of grip strength and 85-100%
of pinch strength were obtained.

Conclusion:
Calcium phosphate cement is anticipated as a valuable alternative treatment
method of hand enchondromas because of the lack of donor site morbidity,
allowing early activity and providing good functional results.

Anahtar Kelimeler

Calcium phosphate cement, hand enchondroma, benign tumors.

Kaynakça

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