Surgical Treatment of Enchondromas of the Hand: Our Experience in Curettage Only and Early Mobilization.

IF 2.9 Q2 MEDICINE, RESEARCH & EXPERIMENTAL

Diseases (Basel, Switzerland) Pub Date : 2025-03-16 DOI:10.3390/diseases13030084

Silvia Pietramala, Giuseppe Rovere, Camilla Ravaioli, Ciro Mignano, Amarildo Smakaj, Andrea Fidanza, Pasquale Farsetti, Lorenzo Rocchi, Camillo Fulchignoni

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Abstract

(1) Background: Enchondroma is one of the most common primary tumors of the hand. Usually asymptomatic, it can present with pain, deformity, and sometimes pathologic fractures. Surgical treatment is advised in these cases. Curettage is the basic treatment, but there is no consensus in the literature regarding post-void filling. The aim of our study is to present simple curettage and early mobilization as a safe and effective treatment. (2) Methods: We retrospectively analyzed patients treated at our center between 2020 and 2024. Each patient was treated with simple curettage and early mobilization. We collected demographic data and follow-up data. (3) Conclusions: We recorded no complications in our cohort, pointing out that our method is safe and reliable without any kind of immobilization. Bone grafts and other methods such as cement are good options but should be considered in specific cases.

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手部内生纤维瘤的手术治疗：仅刮除和早期活动的经验。

(1)背景：内生性瘤是手部最常见的原发肿瘤之一。通常无症状，可表现为疼痛、畸形，有时可出现病理性骨折。在这种情况下，建议手术治疗。刮除是最基本的治疗方法，但文献中关于补牙尚无共识。我们研究的目的是提出简单刮除和早期活动作为一种安全有效的治疗方法。(2)方法：回顾性分析2020 - 2024年在本中心治疗的患者。每例患者均行简单刮除和早期活动。我们收集了人口统计数据和随访数据。(3)结论：本组患者均无并发症发生，表明该方法安全可靠，无需任何固定。骨移植和其他方法如骨水泥是不错的选择，但在特殊情况下应予以考虑。

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