Related Experiment Videos
[Enchondromatoses of the hand]
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|March 1, 1986
Summary
Surgical intervention for enchondromas, particularly in hands, can yield excellent long-term results. Segmental resection with autologous spongiosa offers a preferred approach for significant enchondromas, preventing recurrence.
Area of Science:
- Orthopedic Surgery
- Skeletal Dysplasias
Background:
- Enchondromas are benign cartilage tumors with debated origins, possibly arising from epiphyseal cartilage or vascular disturbances during growth.
- Hereditary links for enchondromas have not been definitively established.
Observation:
- A case study of a 33-year-old patient with severe bilateral hand enchondromas highlights the functional and esthetic challenges posed by these tumors.
- The patient underwent 16 surgical procedures for tumor removal and defect reconstruction.
Findings:
- Segmental resection, filling defects with autologous spongiosa, is the preferred surgical method for large enchondromas affecting bone integrity or joint proximity.
- This technique allows for shorter immobilization periods compared to cross-section resections.
- The primary patient experienced no recurrence over a 10-year follow-up after 16 procedures. Two other patients with less severe multiple enchondromas also showed no recurrence after 3-8 years.
Implications:
- Surgical treatment is recommended for symptomatic enchondromas in childhood, especially those impacting hand function or appearance.
- Not all enchondromas necessitate surgical intervention; careful patient selection is crucial.