Abstract | PURPOSE: METHODS: Between 2006 and 2010, we enrolled 8 patients with solitary hand enchondromas and pathologic fractures. The surgical procedure involved a lateral approach, an extended lateral cortical window, thorough tumor evacuation, and reconstruction of the bone defects using commercially available injectable calcium sulfate cement. We performed evaluations before surgery and in the postoperative follow-up series by radiographs and clinical assessments, including measurement of joint motion by goniometry and a visual analog pain scale. RESULTS: The average time of follow-up was 19 months (range, 12-36 mo). The pathologic fractures of all patients healed clinically and radiographically within 8 weeks after surgery, and the mean active motion arcs of the metacarpophalangeal joints and proximal interphalangeal joints of the involved digit were 90° and 94°, respectively at 3-month follow-up. All patients returned to ordinary daily activities without obvious pain by 3 months postoperatively. We found no major complications, such as unacceptable alignment, nonunion, infection, or tumor recurrence, during follow-up. CONCLUSIONS: TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
|
Authors | Sung-Yen Lin, Peng-Ju Huang, Hsuan-Ti Huang, Chung-Hwan Chen, Yuh-Min Cheng, Yin-Chih Fu |
Journal | The Journal of hand surgery
(J Hand Surg Am)
Vol. 38
Issue 1
Pg. 104-9
(Jan 2013)
ISSN: 1531-6564 [Electronic] United States |
PMID | 23200218
(Publication Type: Journal Article)
|
Copyright | Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. |
Chemical References |
- Bone Cements
- Calcium Sulfate
|
Topics |
- Adolescent
- Adult
- Bone Cements
(therapeutic use)
- Bone Neoplasms
(complications, diagnosis, surgery)
- Calcium Sulfate
- Chondroma
(complications, diagnosis, surgery)
- Female
- Fingers
- Fractures, Spontaneous
(etiology)
- Humans
- Male
- Metacarpophalangeal Joint
(physiopathology)
- Orthopedic Procedures
(methods)
- Pain Measurement
- Range of Motion, Articular
- Young Adult
|