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수족부의 단관골에 발생한 내연골종의 치료

Treatment of Enchondroma in the Hands and Feet

대한정형외과학회지 2020년 55권 2호 p.162 ~ 168
김정일 ( Kim Jeung-Il ) - Pusan National University School of Medicine Department of Orthopedic Surgery

최경운 ( Choi Kyung-Un ) - Pusan National University School of Medicine Department of Pathology
이인숙 ( Lee In-Sook ) - Pusan National University School of Medicine Department of Radiology
송유선 ( Song You-Seon ) - Pusan National University School of Medicine Department of Radiology
정재윤 ( Jeong Jae-Yoon ) - Pusan National University School of Medicine Department of Orthopedic Surgery

Abstract


Purpose: The purpose of this study was to suggest an appropriate treatment method by comparing nonsurgical treatment and surgical treatment for enchondroma in the hands and feet.

Materials and Methods: Seventy four cases with enchondroma of the hands and feet from January 1996 to March 2017 were selected to evaluate the functional outcomes. Thirty cases were treated with nonsurgical treatment, and 44 cases were treated with surgical treatment, such as curettage only or curettage with a bone graft. The mean follow-up period was 18.1 months. The functional results were analyzed using the Wilhelm and Feldmeier formula.

Results: The mean age was 38 years, and the age range was between eight and 69 years. According to the Wilhelm and Feldmeier formula, the mean score of hand enchondroma was 3.09±0.85 and 3.20±0.91 in the non-operative and operative group, respectively. The mean scores of the foot except for the grip strength were 2.57±0.79 and 2.75±0.50, respectively. No significant difference was observed according to the functional results. Among the 18 cases of enchondroma with pathological fractures, nine cases were treated non-surgically and nine cases were treated by surgically. In all 18 cases, complete bone healing was observed at the final follow-up.

Conclusion: Relatively satisfactory results were obtained in both surgical and nonsurgical treatment and there was no significant difference in functional outcomes. In cases of enchondroma in the hands and feet, nonsurgical treatment can also be a good treatment option.

키워드

내연골종; 치료
enchondroma; treatment
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