Operative treatment of enchondromas of the hand: Is cancellous bone grafting necessary?

Curettage is the treatment of choice for enchondromas, the most common primary tumour of the hand. In contrast, additional bone grafting remains controversial. Between 1998 and 2004, we operated on 22 patients with monostotic enchondroma of the hand. Sixteen patients (eight of whom had no additional...

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Published inScandinavian journal of plastic and reconstructive surgery and hand surgery Vol. 43; no. 5; pp. 279 - 285
Main Authors Schaller, Peter, Baer, Wolfgang
Format Journal Article
LanguageEnglish
Published England Informa UK Ltd 2009
Taylor & Francis
Subjects
Adolescent
Adult
Aged
Bone Density
bone grafting
Bone Neoplasms - surgery
Chondroma - surgery
Curettage
enchondroma
Female
Follow-Up Studies
Hand Bones - diagnostic imaging
Hand Bones - surgery
Humans
Ilium - transplantation
Male
Middle Aged
Radiography
Tumour
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Summary:Curettage is the treatment of choice for enchondromas, the most common primary tumour of the hand. In contrast, additional bone grafting remains controversial. Between 1998 and 2004, we operated on 22 patients with monostotic enchondroma of the hand. Sixteen patients (eight of whom had no additional bone grafting, and eight who had) were evaluated at a mean of 68 (range 42-108) months (no) and 50 (range 29-65) months (bone grafts) postoperatively. Bone density was measured densitometrically on the radiographs, and the groups were compared with each other and within themselves with corresponding locations on the healthy opposite hand. Neither bone density nor functional results were significantly different. Additional bone grafting in the treatment of enchondromas is not necessary and should be reserved for particular indications.
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ISSN:0284-4311
1651-2073
DOI:10.3109/02844310902891570