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The management and surgical intervention timing of enchondromas: A 10-year experience.

Abstract Enchondroma, reportedly the most common primary tumor of the long bones of the hand, usually develops during the first till fourth decades of life. However, there has no consensus been reached regarding the surgical intervention timing for these patients. We aim to evaluate the optimal surgical intervention timing for the patients with fractures due to enchondromas, investigate the impact of pathological fractures on the treatment and outcomes in these patients.Medical records and X-rays of patients treated for enchondroma of the hand from 2005 to 2015 were retrospectively reviewed. We collected 148 cases in total and 92 of them had complete information including X-rays, medical records, and files of follow up.There were no significant differences in terms of consolidation time after surgery, recurrence rate, and DASH scores between the groups with and without fractures; the treatment costs were higher in the group with fractures than those without fractures; however, patients without fractures were able to resume work earlier than those with fractures.The pathological fractures associated with enchondromas have no significant impact on the treatment outcomes compared to those with simple nonfractured enchondromas. Although the cost was more expensive for patients treated primarily with pathological fractures due to enchondromas, these patients could resume their work normally much earlier than those treated by delayed surgery. Early surgical intervention is recommended for better results and no increased risks for patients with pathological fractures caused by enchondromas.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28422880
OWN - NLM
STAT- MEDLINE
DA  - 20170419
DCOM- 20170509
LR  - 20170509
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 16
DP  - 2017 Apr
TI  - The management and surgical intervention timing of enchondromas: A 10-year
      experience.
PG  - e6678
LID - 10.1097/MD.0000000000006678 [doi]
AB  - Enchondroma, reportedly the most common primary tumor of the long bones of the
      hand, usually develops during the first till fourth decades of life. However,
      there has no consensus been reached regarding the surgical intervention timing
      for these patients. We aim to evaluate the optimal surgical intervention timing
      for the patients with fractures due to enchondromas, investigate the impact of
      pathological fractures on the treatment and outcomes in these patients.Medical
      records and X-rays of patients treated for enchondroma of the hand from 2005 to
      2015 were retrospectively reviewed. We collected 148 cases in total and 92 of
      them had complete information including X-rays, medical records, and files of
      follow up.There were no significant differences in terms of consolidation time
      after surgery, recurrence rate, and DASH scores between the groups with and
      without fractures; the treatment costs were higher in the group with fractures
      than those without fractures; however, patients without fractures were able to
      resume work earlier than those with fractures.The pathological fractures
      associated with enchondromas have no significant impact on the treatment outcomes
      compared to those with simple nonfractured enchondromas. Although the cost was
      more expensive for patients treated primarily with pathological fractures due to 
      enchondromas, these patients could resume their work normally much earlier than
      those treated by delayed surgery. Early surgical intervention is recommended for 
      better results and no increased risks for patients with pathological fractures
      caused by enchondromas.
FAU - Zhou, Xijie
AU  - Zhou X
AD  - aDivision of Plastic and Hand Surgery, Department of Orthopedics bDivision of
      Postanesthesia Care Unit, Department of Anesthesiology, The Second Affiliated
      Hospital of Wenzhou Medical University, Wenzhou cDivision of Plastic and Hand
      Surgery, Department of Orthopedic Surgery, The Second Affiliated Hospital and
      Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang
      Province, China.
FAU - Zhao, Bin
AU  - Zhao B
FAU - Keshav, Poonit
AU  - Keshav P
FAU - Chen, Xinglong
AU  - Chen X
FAU - Gao, Weiyang
AU  - Gao W
FAU - Yan, Hede
AU  - Yan H
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Bone Neoplasms/*complications/*surgery
MH  - Bone Transplantation/adverse effects/methods
MH  - Chondroma/*complications/*surgery
MH  - Curettage/adverse effects/methods
MH  - Female
MH  - Fractures, Bone/*etiology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Recurrence, Local
MH  - Retrospective Studies
MH  - Time Factors
MH  - Young Adult
PMC - PMC5406096
EDAT- 2017/04/20 06:00
MHDA- 2017/05/10 06:00
CRDT- 2017/04/20 06:00
AID - 10.1097/MD.0000000000006678 [doi]
AID - 00005792-201704210-00061 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(16):e6678. doi: 10.1097/MD.0000000000006678.

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