Lone enchondromas of the hand. Long term followup after surgical treatment.

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Jessica Andrea Suárez Zarrate
Guillermo Rojas Duque
Romulo Hernández Ramírez

Abstract

IntroductionLone enchondromas are the most common tumors of the hand. Approximately 40% compromise this upper extremity, with a preference for cubital rays and proximal phalanges. The risk of malignancy to chondrosarcoma is 1% and the risk of recurrence is between 2 and 15%. Considering the latter, this study describes the experience and results of a large number of patients with a long-term follow-up.MethodsThis is a descriptive, retrospective, case series study. Patients with confirmed diagnosis of lone enchondroma of the hand that were treated with tumor resection, curettage and iliac crest or radius autograft placement were included. After the surgical treatment, hand function assessed with the Takigawa classification, the radiological results and the frequency of complications or recurrence were evaluated.ResultsNineteen patients with a mean follow-up of 11 years were included. According to the Takigawa classification, function was excellent in 16 patients (84,2%) and good in 3 (15,7%). One patient presented with incisional superficial surgical site infection that resolved completely. No cases of recurrence were identified.ConclusionsWithin the patients assessed, good functional and radiological results were obtained after surgical treatment. Enconcdromas can present a risk of pathological fractures, recurrence and in a lesser proportion malignization, however, none of these complications were identified. The results of a simple surgical treatment option with good and excellent long-term results are described.

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How to Cite
Suárez Zarrate, J. A., Rojas Duque, G., & Hernández Ramírez, R. (2017). Lone enchondromas of the hand. Long term followup after surgical treatment. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 82(3), 189-194. https://doi.org/10.15417/680
Section
Clinical Research
Author Biographies

Jessica Andrea Suárez Zarrate, Fundación Universitaria Sanitas Clínica Universitaria Colombia

Residente de Ortopedia de la Fundacion Univesitaria sanitas. Bogota- Colombia

Guillermo Rojas Duque, Clínica Universitaria Colombia. Coltrauma

Cirujano de mano y miembro superior. Clínica Universitaria Colombia. Coltrauma.  Bogotá D.C.

Romulo Hernández Ramírez, Fundación Universitaria Sanitas

Residente de Ortopedia de la Fundacion Univesitaria sanitas. Bogota- Colombia

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