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首页> 外文期刊>Journal of Hand Surgery. American Volume >Modified technique for one-stage treatment of proximal phalangeal enchondromas with pathologic fractures
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Modified technique for one-stage treatment of proximal phalangeal enchondromas with pathologic fractures

机译：改良技术治疗病理性骨折的近端指骨内生软骨瘤

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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° to 10°) 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.
机译：目的评估伴有病理性骨折的近节指骨内膜软骨瘤的治疗结果。方法在2008年6月至2012年10月之间，我们通过刮治肿瘤，用一块自体骨碎屑填充空隙并应用薄型微型钢板治疗9例孤立性近端指骨内生软骨瘤和病理性骨折的患者。术后随访包括临床评估，疼痛评估和X光片。结果随访时间为13到42个月（平均30个月）。没有观察到重大并发症，例如明显的错位，骨不连，感染或肿瘤复发。术后平均8周，所有骨折均愈合。 5例患者达到了完全运动状态，近端指间关节的延展滞后（5°至10°）持续4例。根据Takigawa的标准，所有患者的功能均良好。所有患者均报告无痛，并且在术后12周内恢复了术前功能。结论肿瘤刮除术，使用自体骨碎屑块修复骨缺损以及薄型微型钢板固定提供了一种阶段性治疗，可立即实现刚性稳定并具有良好的功能预后。

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