Surgical Management of Enchondromas of the Hand: A 12-Year Experience.

IF 0.3 Q4 SURGERY
Journal of Hand and Microsurgery Pub Date : 2021-09-29 eCollection Date: 2023-06-01 DOI:10.1055/s-0041-1736004
Natalie Redgrave, Dariush Nikkhah, Norbert Kang, Neil Toft
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引用次数: 0

Abstract

Objective  Enchondromas are benign tumours of hyaline cartilage most frequently arising in the bones of the hand and the optimum surgical management strategy for these is debated. We present an audit of the surgical management of 57 enchondromas referred to our tertiary hand surgery department over a period of 12 years (2008-2020) and describe our surgical technique for this procedure as well as a comparison with other studies in the literature. Materials and Methods  Retrospective audit of our practice. Data were extracted from our institutional operative database to identify all patients undergoing surgical management of enchondromas during the time period. The individual electronic patient records were then evaluated to extract demographics and outcome data. Results  Our results demonstrate excellent clearance of enchondroma (74% Tordai group 1 radiological resolution) with very low complication rates and no recurrence. Our results also emphasize the importance of surgical management of enchondromas to allow diagnosis of rare chondrosarcoma (3.5% in this study). Conclusion  A larger randomized controlled trial is still required to adequately determine the differences between the surgical options available and determine the best possible surgical approach to these cases. Level of evidence is III.

手部软骨瘤的手术治疗:12 年的经验
目的:软骨瘤是透明软骨的良性肿瘤,最常见于手部骨骼。我们对 12 年内(2008-2020 年)转诊到我们三级手外科的 57 例软骨瘤的手术治疗进行了审核,并介绍了我们的手术技巧以及与其他文献研究的比较。材料和方法 对我们的实践进行回顾性审计。我们从本机构的手术数据库中提取数据,以确定在此期间接受软骨瘤手术治疗的所有患者。然后评估患者的个人电子病历,提取人口统计学和结果数据。结果 我们的结果表明,软骨瘤清除率极高(74% 的 Tordai 1 组放射学分辨率),并发症发生率极低,且无复发。我们的结果还强调了对软骨瘤进行手术治疗以诊断罕见软骨肉瘤(本研究中为 3.5%)的重要性。结论 仍需进行更大规模的随机对照试验,以充分确定现有手术方案之间的差异,并确定治疗这些病例的最佳手术方法。证据等级为 III。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
25.00%
发文量
39
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