Modified Technique for One-Stage Treatment of Proximal Phalangeal Enchondritmas With Pathologic Fractures

作者：Zheng Huaiyuan; Liu Juan^*; Dai Xinyi; Schilling Arndt F

来源：Journal of Hand Surgery-American Volume, 2014, 39(9): 1757-1760.

DOI：10.1016/j.jhsa.2014.06.131

• Bone graft
• enchondroma
• internal fixation
• pathologic fracture

Purpose To evaluate the treatment outcome for enchondromas of the proximal phalanx with pathological fracture.
Methods Between June 2008 and October 2012, we treated 9 patients with solitary proximal phalanx enchondromas and pathologic fractures by curetting the tumor, filling the void with a block of autogenous bone chip, and applying a low-profile miniplate. Postoperative follow-up included clinical assessment, pain evaluation, and radiographs.
Results Follow-up time ranged from 13 to 42 months (mean, 30 mo). No major complications such as notable malalignment, nonunion, infection, or tumor recurrence were observed. All fractures healed after a mean of 8 weeks postoperatively. Full motion was achieved in 5 patients and extension lag (5 degrees to 10 degrees) of the proximal interphalangeal joint persisted in 4. Function was excellent in all patients according to the Takigawa criteria. All patients reported they were pain free and had resumed presurgical function within 12 weeks after surgery.
Conclusions Tumor curettage, reconstruction of the bone defect with a block of autogenous bone chip, and low-profile miniplate fixation provided one-stage treatment with immediate rigid stabilization and good functional outcomes.

• 出版日期2014-9
• 单位华中科技大学