Pietramala Silvia, Rovere Giuseppe, Ravaioli Camilla, Mignano Ciro, Smakaj Amarildo, Fidanza Andrea, Farsetti Pasquale, Rocchi Lorenzo, Fulchignoni Camillo
Department of Orthopaedics and Traumatology, Fondazione Policlinico A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Department of Orthopaedics and Traumatology, Catholic University of Sacred Heart, Roma (IT) Largo Francesco Vito 1, 00168 Rome, Italy.
Diseases. 2025 Mar 16;13(3):84. doi: 10.3390/diseases13030084.
(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.
(1) 背景:内生软骨瘤是手部最常见的原发性肿瘤之一。通常无症状,可出现疼痛、畸形,有时还会发生病理性骨折。这些情况下建议进行手术治疗。刮除术是基本治疗方法,但关于术后缺损填充,文献中尚无共识。我们研究的目的是提出单纯刮除术和早期活动作为一种安全有效的治疗方法。(2) 方法:我们回顾性分析了2020年至2024年在我们中心接受治疗的患者。每位患者均接受单纯刮除术和早期活动治疗。我们收集了人口统计学数据和随访数据。(3) 结论:我们的队列中未记录到并发症,表明我们的方法安全可靠,无需任何形式的固定。骨移植和其他方法如骨水泥是不错的选择,但应在特定情况下考虑。