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. 2015 Mar;10(1):111-5.
doi: 10.1007/s11552-014-9674-2.

Phenolization and coralline hydroxyapatite grafting following meticulous curettage for the treatment of enchondroma of the hand. A case series of 82 patients with 5-year follow-up

Dimitrios Georgiannos  1 , Vasilios Lampridis  2 , Ilias Bisbinas  2
Affiliations

Phenolization and coralline hydroxyapatite grafting following meticulous curettage for the treatment of enchondroma of the hand. A case series of 82 patients with 5-year follow-up

Dimitrios Georgiannos et al. Hand (N Y). 2015 Mar.

Abstract

Background: Enchondromas are benign cartilaginous tumours. The most common location is in the long bones of the hand. Treatment methods fall into a broad spectrum ranging from conservative, medical therapies, to a variety of surgical procedures, which may or may not employ the use of local adjuvant treatment or bone grafting. The purpose of this study was to report our experience and evaluate the long-term results of patients with enchondroma of the hand, treated in our department with meticulous curettage, phenolization and coralline hydroxyapatite grafting.

Methods: We present 82 patients with hand enchondromas treated surgically in our department during the last 10 years. The patients were treated operatively with meticulous curettage of the bone lesion, with use of phenol 5 % as local adjuvant and coralline hydroxyapatite bone graft to fill in the remaining cavity.

Results: At a minimum of 5-year follow-up, radiographs and clinical examination showed adequate bone formation at the site of enchondroma excavation and no evidence of recurrence, fracture, infection or other complication related to the procedure.

Conclusion: We concluded that the combination of meticulous curettage of the lesion, with the use of phenol as local adjuvant and coralline hydroxyapatite graft is a safe technique that prevents recurrence and allows adequate and uncomplicated local new bone formation.

Keywords: Adjuvant therapy; Coralline hydroxyapatite; Enchondroma; Phenol; Recurrence; Surgical treatment.

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Figures

Fig. 1
Fig. 1
Radiographs of the right hand showing an enchondroma of the proximal phalanx of the middle finger preoperatively a and postoperatively b
Fig. 2
Fig. 2
Anteroposterior radiograph of the left hand. Enchondroma of the fifth metacarpal a treated surgically. Four years postoperatively b, there was no recurrence of the tumour and the coralline hydroxyapatite graft was substituted by woven cancellous bone
Fig. 3
Fig. 3
Anteroposterior view of the left hand revealed an enchondroma of the third metacarpal associated with a pathological fracture of its midshaft
See this image and copyright information in PMC

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