Enjekte edilebilir kalsiyum fosfat çimentosu ile tedavi edilen el enkondromları

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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