| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 4072536 | Journal of Orthopaedics, Trauma and Rehabilitation | 2016 | 5 Pages |
Background/PurposeCurettage followed by the application of iliac crest autograft was the traditional treatment of hand enchondroma in Princess Margaret Hospital, Hong Kong.MethodsWe reviewed the results of 13 patients with hand enchondroma who were operated on in the past 15 years (1999–2013). Eight patients (1999–2009) received iliac crest autograft after curettage, whereas the other five patients (2009–2013) received artificial bone substitutes.ResultsBoth groups of patients had good functional outcome and bone graft incorporation. There was no recurrence. One patient in the autograft group had mild residual finger stiffness. One patient receiving artificial bone substitutes had a gouty attack, early wound infection, and finger stiffness. The use of artificial bone substitutes eliminated donor site morbidities, decreased operation time and, hospital stay. They took a longer time for radiological incorporation than autograft, but it did not translate into adverse clinical effects.ConclusionArtificial bone substitute is a good alternative to iliac crest autograft in the treatment of hand enchondroma.
中 文 摘 要在香港瑪嘉烈醫院, 治療手部內生軟骨瘤的傳統方法是刮除術和自體髂骨移植手術˳ 我們回顧了最近15年(1999–2013)手部內生軟骨瘤的手術成效˳ 由1999至2009年, 8位病人接受了自體髂骨移植手術˳ 由2009至2013年, 5位病人接受了人工合成骨移植手術˳ 兩組病人的手部功能回復理想, 移植骨成功癒合, 沒有復發的病例˳ 一位接受自體髂骨移植手術的病人出現輕微手指僵硬的情況, 而另一位接受人工合成骨移植手術的病人痛風症病發, 出現傷口感染和手指僵硬的情況˳ 使用人工合成骨可以避免髂骨傷口出現併發症, 減少手術和住院時間˳ 人工合成骨需要較長的時間癒合, 但沒有帶來負面的臨床影響˳ 使用人工合成骨來治療手部內生軟骨瘤是除了自體髂骨移植術以外的好選擇˳
