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Treatment of Enchondromas of the Hand with Bone Substitute

Preliminary report of five cases

From the Polyclinique des Lices and Centre d’Anatomie et de Cytologie Pathologiques, Castres, France

Correspondence: P. Jacoulet MD, Polyclinique des Lices, Chemin du Corporal, F-81100 Castres, France.

We report five patients with enchondromas of long bones in the hand. They were successfully treated by curettage and implantation of a biodegradable bone substitute (calcium phosphate). Bone regained normal X-ray appearance by 9 months. The full range of motion and normal function of the hand were restored. There were no complications and no recurrence at follow-up visits 28 months after operation. There are several advantages to this technique. The operative procedure may be performed under local anaesthesia on an out-patient basis and the operative time is shortened. Complications of a cancellous bone donor site are avoided, as are the potential infectious complications of allogenic bone implantation.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 4, 476-478 (1997)
DOI: 10.1016/S0266-7681(97)80272-0


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