Treatment of hand enchondroma with injectable calcium phosphate cement: a series of eight cases

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• 作者：Mohammad Al Rajeh ; Juan José Hidalgo Diaz…
• 关键词：Enchondroma ; Interosseous endoscopy ; Calcium phosphate cement ; Hydroxyapatite
• 刊名：European Journal of Orthopaedic Surgery & Traumatology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：27
• 期：2
• 页码：251-254
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Surgical Orthopedics; Traumatic Surgery;
• 出版者：Springer Paris
• ISSN：1432-1068
• 卷排序：27

文摘

The gold standard treatment for enchondroma in the hand is curettage and filling of the defect. The goal of this study was to evaluate the results when injectable calcium phosphate cement is used to fill the bone defect. Eight patients having a mean age of 44 years were operated through a minimally invasive skin incision. After a small bone window was made, curettage of the lesion was performed and verified by intraosseous endoscopy. The defect was filled with injectable calcium phosphate cement (JectOS/AREX®BONE, Kasios, L’Union France). The mean pain score (out of 10) decreased from 4.1 preoperatively to 1.6 postoperatively. The mean QuickDASH (out of 100) improved from 37.66 to 24.14. At the last follow-up (mean of 16 months), the range of motion in the operated hand had reached 89.3% of the contralateral hand. Based on radiographs, a mean of 69.3% calcium phosphate cement remained in the bone. There were two cases of extraosseous cement leakage, one of which required revision and resulted in a poor outcome. Overall, these results show that curettage of a hand enchondroma followed by filling of the defect with injectable calcium phosphate cement is a simple, reliable technique with no donor site morbidity, as long as cement does not leak out.