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Journal of Hand Surgery (British and European Volume)
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Articles

The Use of an in situ Curing Hydroxyapatite Cement as an Alternative to Bone Graft Following Removal of Enchondroma of the Hand

U. JOOSTEN
A. JOIST
T. FREBEL
M. WALTER
M. LANGER

From the Department of Trauma and Hand Surgery, Medical Centre of the Westfalian Wilhelms-University, Münster, Germany

Correspondence: Dr U. Joosten, Department of Trauma & Hand Surgery, Medical Centre of the Westfalian Wilhelms-University, Waldeyer Str. 1, 48129 Münster, Germany E-mail: u.joosten{at}uni.muenster.de

Following curettage of enchondromata of the phalanges we filled the resultant bone cavity with hydroxyapatite cement in eight patients to avoid cancellous bone grafting. This material differs significantly from the ceramic hydroxyapatite commonly used in clinical practice. It is produced by the combination of two calcium phosphates which, in the presence of water, form a paste that cures to a solid implant with a microporous structure. Like ceramic hydroxyapatite, this cement is highly biocompatible and does not provoke a foreign body giant cell reaction, a sustained inflammatory response or a toxic reaction. We performed a prospective study with X-rays and clinical assessment up to 1 year after the operation. There were no complications, and all patients regained full function of the hand.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 3, 288-291 (2000)
DOI: 10.1054/jhsb.2000.0383
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