Evaluation of risk factors for recurrence in hand enchondromas, the effect of pathological fracture and graft selection on clinical results

Abstract

Objective: Enchondroma is the most common tumor of phalanx and metacarpus. Various techniques and methods have already been investigated for a long time. We aimed to examine the clinical and radiological results of curettage and bone substitute used in a broad spectrum of patients with an enchondroma. Methods: Forty-seven patients operated with the diagnosis of enchondroma were included in the study. Curettage and filling of the cavity with bone substitutes were performed. The mean age of the patients was 29.3215.08 years, and follow-up was 28.4725.10 months. Patients who did not comply with standard follow-up protocol were excluded. An experienced orthopedic surgeon evaluated radiological results, and MRI reports and images for patients with recurrences were extracted from the hospital database. Clinical assessment was made according to range of motion and observed deformity. Findings: Mean consolidation time was 3.08±2.19 months. The recurrence rate was 6.4%. There was no difference between groups admitted with fracture and w/o fracture, allograft and autograft group in terms of clinical and radiological results. Conclusion: Curettage and grafting was still an upcoming and safe method for enchondroma

Keywords

• enchondroma
• recurrence
• malignancy

El enkondromlarında nüks risk faktörlerinin değerlendirilmesi, patolojik kırık ve greft seçiminin klinik sonuçlara etkisi

Öz

Amaç: Enkondrom, falanks ve metakarpusun en sık görülen tümörüdür. Çeşitli teknikler ve yöntemler uzun süredir araştırılmaktadır. Enkondromlu geniş bir hasta yelpazesinde yapılan küretaj ve kullanılan kemik greftinin klinik ve radyolojik sonuçlarını incelemeyi amaçladık. Yöntem: Çalışmaya enkondrom tanısı ile ameliyat edilen 47 hasta dahil edildi. Küretaj sonrası oluşan kavite kemik greftleri ile dolduruldu. Hastaların ortalama yaşı 29.32±15.08 yıl, takip süresi 28.47±25.10 aydı. Standart takip protokolüne uymayan hastalar çalışma dışı bırakıldı. Deneyimli bir ortopedik cerrah radyolojik sonuçları değerlendirdi ve nüksleri olan hastalar için MRG görüntüleri ve raporları hastane veri tabanından alındı. Eklem hareket açıklığı ve gözlenen deformiteye göre klinik değerlendirme yapıldı. Bulgular: Ortalama konsolidasyon süresi 3.08±2.19 aydı. Nüks oranı %6.4’tü. Kırık ile ya da kırıksız başvuran gruplar arasında, allogreft ve otogreft grubu arasında klinik ve radyolojik sonuçlar açısından fark yoktu. Sonuç: Küretaj ve greftleme, enkondrom için hala güncel ve güvenilir bir yöntemdir.

Anahtar Kelimeler

• enkondrom
• rekürrens
• malignensi

Kaynakça

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