Evolving Treatment Modality of Hand Enchondroma in a Local Hospital: From Autograft to Artificial Bone Substitutes: 一所地區性醫院治療手部內生軟骨瘤- 由自體骨移植術到使用人工合成骨的發展

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• 作者：Tsz-Yeung Kwok ; ^{dominicnic@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Hin-Keung Wong
• 关键词：bone graft ; bone substitutes ; hand enchondroma
• 刊名：Journal of Orthopaedics, Trauma and Rehabilitation
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：20
• 期：Complete
• 页码：19-23
• 全文大小：1596 K

文摘

Curettage followed by the application of iliac crest autograft was the traditional treatment of hand enchondroma in Princess Margaret Hospital, Hong Kong.

Methods

We reviewed the results of 13 patients with hand enchondroma who were operated on in the past 15 years (1999–2013). Eight patients (1999–2009) received iliac crest autograft after curettage, whereas the other five patients (2009–2013) received artificial bone substitutes.

Results

Both groups of patients had good functional outcome and bone graft incorporation. There was no recurrence. One patient in the autograft group had mild residual finger stiffness. One patient receiving artificial bone substitutes had a gouty attack, early wound infection, and finger stiffness. The use of artificial bone substitutes eliminated donor site morbidities, decreased operation time and, hospital stay. They took a longer time for radiological incorporation than autograft, but it did not translate into adverse clinical effects.

Conclusion

Artificial bone substitute is a good alternative to iliac crest autograft in the treatment of hand enchondroma.