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Chondroblastoma during the growing age

H A Schuppers1, J W van der Eijken

  • 1Department of Orthopaedic Surgery, Streekziekenhuis Midden Twente, Hengelo, The Netherlands.

Journal of Pediatric Orthopedics. Part B
|November 12, 1998
PubMed
Summary

Chondroblastoma, a benign bone tumor affecting children and adolescents, typically heals after surgical removal and bone grafting. While recurrences are possible, functional impairment and growth disturbances are uncommon, though metastasis can occur.

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Area of Science:

  • Orthopedic oncology
  • Pediatric bone tumors

Background:

  • Chondroblastoma is a benign bone tumor common in older children and adolescents.
  • It predominantly affects the epiphysis of the shoulder, hip, and knee.
  • Proximity to joints and growth plates raises concerns for functional impairment and growth disturbances.

Purpose of the Study:

  • To provide an overview of chondroblastoma.
  • To present findings from 116 cases in growing individuals.
  • To evaluate treatment outcomes, including recurrence, functional impairment, and growth disturbances.

Main Methods:

  • Review of 116 chondroblastoma cases from the Dutch Bone Tumor Committee.
  • Analysis of treatment modalities including excochleation and bone grafting.
  • Assessment of functional outcomes, growth disturbances, and recurrence rates.

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Main Results:

  • Most chondroblastomas healed successfully with surgical treatment (excochleation and bone grafting).
  • A notable chance of recurrence was observed.
  • Functional impairment and growth disturbances were infrequent in the analyzed cases.
  • One instance of metastasis was documented.

Conclusions:

  • Surgical management with excochleation and bone grafting is effective for most chondroblastomas.
  • Recurrence remains a significant concern requiring monitoring.
  • Severe functional impairment and growth disturbances are uncommon sequelae.