Werdin F, Jaminet P, Rennekampff H-O, Sinis N, Nusche A, Schaller H-E
Klinik für Hand-, Plastische-, Rekonstruktive- und Verbrennungschirurgie, BG-Unfallklinik Tübingen, Eberhard-Karls Universität, Tübingen.
Handchir Mikrochir Plast Chir. 2010 Oct;42(5):299-302. doi: 10.1055/s-0030-1254087. Epub 2010 Aug 23.
The necessity of spongiosaplasty in the treatment of solitary enchondroma in the hand has been a subject of controversial discussions for several years. Over a period of 10 years the authors performed single curettage without spongiosaplasty. The aim of this study was to investigate our results and to compare these findings with those of other studies.
Over the last 10 years we have treated 106 patients with solitary enchondroma of the hand by single curettage without bone grafting. All patients underwent postoperative radiological examination. The mean follow-up was 34 months. The results of the X-ray investigation were examined retrospectively concerning the recurrence rates and the Hasselgren score.
Two patients (1.9%) have experienced radiological changes according to Hasselgren score IV. One patient (0.8%) demonstrated radiological III° changes according to score of Hasselgren. Including the patient with the radiological changes according to Hasselgren score III, the overall recurrence rate was 2.8%.
After comparing our results with those of other studies, we conclude that additional bone-grafting does not improve the recurrence rate of solitary enchondromas of the hand.
手部孤立性内生软骨瘤治疗中是否需要进行骨松质成形术多年来一直是争议性讨论的主题。在10年的时间里，作者进行了单纯刮除术而未行骨松质成形术。本研究的目的是调查我们的结果，并将这些发现与其他研究的结果进行比较。
在过去10年中，我们通过单纯刮除术且不植骨治疗了106例手部孤立性内生软骨瘤患者。所有患者均接受了术后影像学检查。平均随访时间为34个月。对X线检查结果进行回顾性分析，以了解复发率和哈塞尔格伦评分情况。
两名患者（1.9%）根据哈塞尔格伦评分为IV级出现了影像学改变。一名患者（0.8%）根据哈塞尔格伦评分显示为III°改变。包括根据哈塞尔格伦评分为III级出现影像学改变的患者，总体复发率为2.8%。
将我们的结果与其他研究结果进行比较后，我们得出结论，额外植骨并不能提高手部孤立性内生软骨瘤的复发率。
