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Curettage Using Soft-wire for Enchondroma in the Hand: A Technical Note.

Akio Sakamoto¹, Shuichi Matsuda¹

¹Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Journal of Orthopaedic Case Reports

|October 21, 2017

Summary

A novel technique utilizes soft-wire curettage for enchondroma removal, offering a minimally invasive approach for bone lesions. This method simplifies the treatment of enchondromas, regardless of their size.

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Area of Science:

Orthopedic surgery
Bone pathology
Minimally invasive procedures

Background:

Enchondromas are benign cartilaginous bone tumors often found in the hand.
Large enchondromas within phalanges pose surgical challenges for complete curettage.
Pathological fractures can occur due to enchondroma expansion.

Observation:

A soft-wire (cerclage wire) was adapted as a curette for enchondroma removal.
The technique was applied to enchondromas in a middle phalanx and a distal phalanx.
Surgical air drills created small cortical fenestrations for wire insertion.

Findings:

Soft-wire curettage proved effective for removing enchondromas in phalangeal bone lesions.
The procedure resulted in successful bone incorporation after implantation of beta-tricalcium phosphate particles.

Keywords:

Enchondroma curettage phalanx soft-wire

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This technique allows for consistent skin incision length and fenestration size, irrespective of lesion size.

Implications:

This minimally invasive curettage technique offers a simplified solution for treating enchondromas.
The approach minimizes surgical invasiveness, potentially reducing patient recovery time.
The adaptability of the soft-wire curette technique may be beneficial for various bone lesion removals.