Kim Jae Kwang, Kim Nam Ki
Department of Orthopedic Surgery, School of Medicine, Ewha Womans University, Yangcheon-gu, Seoul, South Korea.
Hand Surg. 2012;17(1):65-70. doi: 10.1142/S0218810412500104.
Ten consecutive patients with digital enchondroma were treated by curettage and calcium phosphate bone cement (CPC) injection under digital nerve block. Mean patient age at surgery was 39 years old (range, 26-54), and the mean follow-up period was 19 months (range, 12-31). Two patients had a pathologic fracture at the first visit. Active finger motion was allowed at three days postoperatively and all patients returned to work within four weeks of surgery. The surgical procedures were uneventful in all patients, and no complications were encountered during follow-up. The mean total arc of motion of the PIP joints and MP joints of the affected fingers was 93% of and 99%, respectively, of the arcs of the corresponding joints of the contralateral unaffected fingers at final follow-up. CPC injection is a good option for the treatment of enchondroma of the finger.
对10例连续性指内生软骨瘤患者在指神经阻滞下采用刮除术及注射磷酸钙骨水泥（CPC）进行治疗。手术时患者的平均年龄为39岁（范围26 - 54岁），平均随访期为19个月（范围12 - 31个月）。2例患者初诊时发生病理性骨折。术后3天允许患指进行主动活动，所有患者均在术后4周内恢复工作。所有患者手术过程均顺利，随访期间未出现并发症。末次随访时，患指近端指间关节（PIP）和掌指关节（MP）的平均总活动弧度分别为对侧未受累手指相应关节弧度的93%和99%。注射CPC是治疗手指内生软骨瘤的一个良好选择。
