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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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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. |
format | Online Article Text |
id | pubmed-10382893 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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