Abstract
Background
Enchondroma is a benign bone tumor having a predilection to develop in the bones of the hand. A total of 27 cases of solitary enchondroma was diagnosed at our department and as operative method in all the cases bone grafting was made following curretage of enchondroma. Of thease cases, study was made on 11 cases on whom follow-up observation could be made.
Methods
The subjects of the present study were 27 cases whose age at time of surgery ranged from 6 to 72 with a mean of 35.9. Pathological fracture was observed in 12 cases. The 11 cases on whom follow-up could be made were evaluated in accordance with Takigawa's criterion having five items, that is, pain, deformity, R.O.M., grip power, and radiologic change.
Results
Evaluation of excellent was made in 5 cases, good in 4 cases, fair in 2 cases, and poor in none of the cases. No cases of recurrence or malignant transformation has been observed, but in 2 cases enchondroma was observed in other bones of the hand.
Conclusion
Bone grafting following curretage is an effective and extensively utilized method of treating enchondroma. Long term postoperative follow-up observation is necessary for enchondroma.
