TY - JOUR T1 - Hand enchondromas treated with injectable calcium phosphate cement TT - Enjekte edilebilir kalsiyum fosfat çimentosu ile tedavi edilen el enkondromları AU - Demirkan, Ahmet Fahir AU - Yörükoğlu, Ali Çağdaş AU - Akman, Alp AU - Kitiş, Ali AU - Usta, Hande PY - 2019 DA - January Y2 - 2018 DO - 10.31362/patd.484519 JF - Pamukkale Medical Journal JO - Pam Tıp Derg PB - Pamukkale Üniversitesi WT - DergiPark SN - 1308-0865 SP - 115 EP - 121 VL - 12 IS - 1 LA - en AB - Purpose: The purpose of thisstudy was to evaluate the results of hand enchondroma patients treated bycurettage and then filling of the defect with injectable calcium phosphatecement.Material and Methods:16 patients were included in this retrospective study. The radiological,clinical (painintensity, range of motion) and functional outcomes (Quick-DASH, grip and pinchstrengths) were evaluated. Results: There was a significantreduction in mean pain scores post operatively. Allpatients had full range of motion except 1 patient. Newbone formation occurred in seven patients. Ectopic ossification, woundinfection and recurrence were not observed in any patient. The mean Quick-DASHscore 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 treatmentmethod of hand enchondromas because of the lack of donor site morbidity,allowing early activity and providing good functional results. KW - Calcium phosphate cement KW - hand enchondroma KW - benign tumors. N2 - Amaç: Buçalışmanın amacı el enkondromlarının küretajı ve defektin enjekte edilebilirkalsiyum fosfat çimentosu ile tedavi sonuçlarının değerlendirilmesidir. Gereç yöntem: Buretrospektif çalışmaya 16 hasta dahil edilmiştir. Radyolojik, klinik (ağrıdeğerleri, eklem hareket açıklıkları) ve fonksiyonel sonuçları (Quick-DASHskorları, kaba ve ince kavrama güçleri) değerlendirilmiştir. Bulgular: Operasyon sonrası hastaların ortalama ağrı skorlarındaanlamlı bir azalma saptandı. Bir hasta haricinde tüm hastaların tam eklemhareket açıklığına sahip olduğu saptandı. Yedi hastada yeni kemik oluşumu meydanageldi. Hiçbir hastada ektopik kemikleşme, yara yeri enfeksiyonu ve nüksgözlenmedi. Postoperatif ortalama Quick-DASH skoru 7,3±11,9 idi. Sağlamekstremite ile karşılaştırıldığında kaba kavrama gücünün %90 ’ının ve pinçkuvvetinin %85-100 ’ünün geri kazanıldığı saptandı. Sonuç: Kalsiyum fosfatçimentosu donör alan morbiditesinin olmaması, erken aktiviteye izin vermesi veiyi fonksiyonel sonuçlar ile el enkondromlarının tedavisinde değerli bir tedavialternatifi olduğu düşünülmektedir. CR - 1. Rajeh M Al, Diaz JJH, Facca S, Matheron AS, Gouzou S, Liverneaux P. Treatment of hand enchondroma with injectable calcium phosphate cement: a series of eight cases. Eur J Orthop Surg Traumatol [Internet]. 2016 Dec 9;471(11):3645–52. 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