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Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series

PURPOSE: Enchondromas are primary, benign bone neoplasms that arise from intramedullary proliferation of hyaline cartilage cells. Slow and progressive in growth, enchondromas can lead to bone destruction, deformities, and fractures. The treatment of enchondromas remains controversial. We hereby desc...

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Autores principales: Kaempf de Oliveira, Ricardo, Brunelli, João Pedro Farina, Araújo Filho, Raimundo, Aita, Márcio Aurelio, Delgado, Pedro J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10382893/
https://www.ncbi.nlm.nih.gov/pubmed/37521559
http://dx.doi.org/10.1016/j.jhsg.2023.03.008
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author Kaempf de Oliveira, Ricardo
Brunelli, João Pedro Farina
Araújo Filho, Raimundo
Aita, Márcio Aurelio
Delgado, Pedro J.
author_facet Kaempf de Oliveira, Ricardo
Brunelli, João Pedro Farina
Araújo Filho, Raimundo
Aita, Márcio Aurelio
Delgado, Pedro J.
author_sort Kaempf de Oliveira, Ricardo
collection PubMed
description PURPOSE: Enchondromas are primary, benign bone neoplasms that arise from intramedullary proliferation of hyaline cartilage cells. Slow and progressive in growth, enchondromas can lead to bone destruction, deformities, and fractures. The treatment of enchondromas remains controversial. We hereby describe the technique for bone fixation using headless intramedullary screws (HISs) after enchondroma resection in the long bones of the hand. METHODS: From January 2018 to June 2021, all patients treated with HISs after the resection of enchondroma of the hand were retrospectively assessed and included in the study. The series comprised four patients with a minimum postoperative follow-up period of 12 months. Postoperative functional results were measured according to Takigawa criteria and postoperative radiographic results were graded according to the Tordai system. RESULTS: After tumor resection and screw fixation, one patient had autologous bone grafting from the iliac crest, and another had the defect filled with calcium phosphate cement. All patients were followed up for at least 12 months, and the mean healing time of the pathologic fracture was 5 weeks. There were neither complications related to the procedure nor the need for a second surgery. CONCLUSIONS: We describe the technique of intramedullary headless screws for bone fixation after enchondroma resection in the long bones of the hand, as well as the excellent functional, cosmetic, and radiographic results of four patients treated with the technique presented herewith. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
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spelling pubmed-103828932023-07-30 Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series Kaempf de Oliveira, Ricardo Brunelli, João Pedro Farina Araújo Filho, Raimundo Aita, Márcio Aurelio Delgado, Pedro J. J Hand Surg Glob Online Original Research PURPOSE: Enchondromas are primary, benign bone neoplasms that arise from intramedullary proliferation of hyaline cartilage cells. Slow and progressive in growth, enchondromas can lead to bone destruction, deformities, and fractures. The treatment of enchondromas remains controversial. We hereby describe the technique for bone fixation using headless intramedullary screws (HISs) after enchondroma resection in the long bones of the hand. METHODS: From January 2018 to June 2021, all patients treated with HISs after the resection of enchondroma of the hand were retrospectively assessed and included in the study. The series comprised four patients with a minimum postoperative follow-up period of 12 months. Postoperative functional results were measured according to Takigawa criteria and postoperative radiographic results were graded according to the Tordai system. RESULTS: After tumor resection and screw fixation, one patient had autologous bone grafting from the iliac crest, and another had the defect filled with calcium phosphate cement. All patients were followed up for at least 12 months, and the mean healing time of the pathologic fracture was 5 weeks. There were neither complications related to the procedure nor the need for a second surgery. CONCLUSIONS: We describe the technique of intramedullary headless screws for bone fixation after enchondroma resection in the long bones of the hand, as well as the excellent functional, cosmetic, and radiographic results of four patients treated with the technique presented herewith. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. Elsevier 2023-04-06 /pmc/articles/PMC10382893/ /pubmed/37521559 http://dx.doi.org/10.1016/j.jhsg.2023.03.008 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Kaempf de Oliveira, Ricardo
Brunelli, João Pedro Farina
Araújo Filho, Raimundo
Aita, Márcio Aurelio
Delgado, Pedro J.
Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series
title Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series
title_full Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series
title_fullStr Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series
title_full_unstemmed Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series
title_short Intramedullary Fixation with Cannulated Screw After Resection of Enchondroma in the Hand: Technique Description and Case Series
title_sort intramedullary fixation with cannulated screw after resection of enchondroma in the hand: technique description and case series
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10382893/
https://www.ncbi.nlm.nih.gov/pubmed/37521559
http://dx.doi.org/10.1016/j.jhsg.2023.03.008
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