Comparison of distal radius autograft technique with iliac crest autograft technique in solitary finger enchondramas

İngilizce (OpenAlex)

Crest Autograft Technique in Solitary Finger EnchondromasW hile solitary enchondromas are hamartomas origi- nating from the hyaline cartilage tissue in the bone, multiple enchondromas are a type of bone dysplasia.[1] Solitary enchondromas are commonly observed in the long bones of the hand and are the most frequently encountered primary bone tumors of the hand.They are often located on the ulnar fingers and the proximal phalanx.[2] Although solitary enchondromas are often silent, the first finding may be fractures.The main treatment in symptomatic patients is surgery.[3] The purpose of treatment is to prevent fracture and deformity and to establish histopathological diagnosis.Objectives: The purpose of the study was to compare clinical and radiological outcomes of autografts obtained from the iliac crest (IC) and distal radius (DR) and to evaluate their superiority for surgical treatment of solitary finger enchondromas.Methods: Twenty-five patients for whom curettage and autografting were carried out for finger enchondroma were retrospectively analyzed.DR autograft was used in eight patients and IC autograft was used in 17 patients.Data on pre-operative total active motion (TAM), disabilities of the arm, shoulder, and hand (DASH) score, and pain visual analog scale (VAS) scores of the involved finger, duration of surgery, amount of bleeding during the operation, length of hospital stay, presence of complications related to anesthesia, and post-operative donor site morbidity were obtained.Pre-operative and post-operative 12 th month radiographies were evaluated for pre-operative tumor volume, post-operative remnant volume, and Tordai radiologic evaluation grade.Results: No statistically significant difference could be identified between post-operative TAM (p=0.154),DASH (p=0.458),pain VAS scores (p=0.571),remnant volume (p=0.496),Tordai radiologic evaluation grade (p=0.522),duration of surgery (p=0.288), and amount of bleeding (p=0.114) between DR and IC groups.However, mean hospital stay duration was shorter for the DR group (p=0.0001).Recurrence was observed in one patient in the DR group and three patients in the IC group (p=0.996). Conclusion:The clinical and radiological outcomes of grafting from the DR and IC were similar in the treatment of hand enchondromas.However, grafting from the DR may result in shorter hospital stay compared to IC grafting.