Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 1/2005

01-02-2005 | Original Article

No local recurrence of enchondroma after curettage and plaster filling

Authors: R. D. A. Gaasbeek, W. J. Rijnberg, C. J. M. van Loon, H. Meyers, R. Feith

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2005

Login to get access

Abstract

Introduction

The most common treatment of enchondromas is curettage (with or without adjuvant therapy) followed by cancellous bone grafting. To avoid donor-site morbidity of the iliac crest, we applied plaster of Paris as a bone defect filler after curettage of enchondromas.

Materials and methods

We treated 19 enchondromas of the hand and foot in 19 patients (mean age 40 years, range 21–79 years) with curettage and filling of the cavity with sterile plaster of Paris (calcium sulphate/phosphate) tablets.

Results

The diagnosis was histologically confirmed in all cases. After a mean follow-up of 53 months (range 15–139 months), the mean functional Muskuloskeletal Tumor Society Score was 29.1 points (97%; range 28–30). There were no local recurrences although adjuvant therapy was not utilized.

Conclusion

Plaster of Paris appears safe and effective as a bone-filling substance after curettage of enchondroma.
Literature
1.
go back to reference Bartsch M, Schaller P, Flesch I, Geldmacher J (1992) Plaster filling in surgical treatment of enchondroma—a justified therapeutic procedure? Handchir Mikrochir Plast Chir 24:79–83PubMed Bartsch M, Schaller P, Flesch I, Geldmacher J (1992) Plaster filling in surgical treatment of enchondroma—a justified therapeutic procedure? Handchir Mikrochir Plast Chir 24:79–83PubMed
2.
go back to reference Borrelli J Jr, Prickett WD, Ricci WM (2003) Treatment of nonunions and osseous defects with bone graft and calcium sulfate. Clin Orthop 411:245–254PubMed Borrelli J Jr, Prickett WD, Ricci WM (2003) Treatment of nonunions and osseous defects with bone graft and calcium sulfate. Clin Orthop 411:245–254PubMed
3.
go back to reference Dreesman H (1892) Uber Knochenplombierung. Beitr Klin Chir 9:804–810 Dreesman H (1892) Uber Knochenplombierung. Beitr Klin Chir 9:804–810
4.
go back to reference Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop 286:241–246PubMed Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop 286:241–246PubMed
5.
go back to reference Hadjipavlou AG, Simmons JW, Tzermiadianos MN, Katonis PG, Simmons DJ (2001) Plaster of Paris as bone substitute in spinal surgery. Eur Spine J 10:189–196CrossRef Hadjipavlou AG, Simmons JW, Tzermiadianos MN, Katonis PG, Simmons DJ (2001) Plaster of Paris as bone substitute in spinal surgery. Eur Spine J 10:189–196CrossRef
6.
go back to reference Hasselgren G, Forssblad P, Törnvall A (1991) Bone grafting unnecessary in the treatment of enchondromas in the hand. J Hand Surg Am 16:139–142PubMed Hasselgren G, Forssblad P, Törnvall A (1991) Bone grafting unnecessary in the treatment of enchondromas in the hand. J Hand Surg Am 16:139–142PubMed
7.
go back to reference Joosten U, Joist A, Frebel T, Walter M, Langer M (2000) The use of an in situ curing hydroxyapatite cement as an alternative to bone graft following removal of enchondroma of the hand. J Hand Surg Br 25:288–291CrossRefPubMed Joosten U, Joist A, Frebel T, Walter M, Langer M (2000) The use of an in situ curing hydroxyapatite cement as an alternative to bone graft following removal of enchondroma of the hand. J Hand Surg Br 25:288–291CrossRefPubMed
8.
go back to reference Kim SG, Yeo HH, Kim YK (1999) Grafting of large defects of the jaws with a particulate dentin-plaster of Paris combination. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:22–25 Kim SG, Yeo HH, Kim YK (1999) Grafting of large defects of the jaws with a particulate dentin-plaster of Paris combination. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:22–25
9.
go back to reference McKee MD, Wild LM, Schemitsch EH, Waddell JP (2002) The use of an antibiotic impregnated, osteoconductive, bioabsorbable bone substitute in the treatment of infected long bone defects: early results of a prospective trial. J Orthop Trauma 16:622–627CrossRefPubMed McKee MD, Wild LM, Schemitsch EH, Waddell JP (2002) The use of an antibiotic impregnated, osteoconductive, bioabsorbable bone substitute in the treatment of infected long bone defects: early results of a prospective trial. J Orthop Trauma 16:622–627CrossRefPubMed
10.
go back to reference Milgram JW (1985) The origins of osteochondromas and enchondromas. Clin Orthop 174:264–284 Milgram JW (1985) The origins of osteochondromas and enchondromas. Clin Orthop 174:264–284
11.
go back to reference Nikulin A, Ljubovic E (1956) Der Gips-stift in der experimentellen Knochenregeneration. Acta Med Yugoslavia 10:1–36 Nikulin A, Ljubovic E (1956) Der Gips-stift in der experimentellen Knochenregeneration. Acta Med Yugoslavia 10:1–36
12.
go back to reference Peltier LF (1961) The use of plaster of Paris to fill defects in bone. Clin Orthop 21:1–29PubMed Peltier LF (1961) The use of plaster of Paris to fill defects in bone. Clin Orthop 21:1–29PubMed
13.
go back to reference Peltier LF (2001) The use of plaster of Paris to fill large defects in bone: a preliminary report. Clin Orthop 382:3–5PubMed Peltier LF (2001) The use of plaster of Paris to fill large defects in bone: a preliminary report. Clin Orthop 382:3–5PubMed
14.
go back to reference Peltier LF, Jones RH (2004) Treatment of unicameral bone cysts by curettage and packing with plaster-of-Paris pellets. Clin Orthop 422:145–7PubMed Peltier LF, Jones RH (2004) Treatment of unicameral bone cysts by curettage and packing with plaster-of-Paris pellets. Clin Orthop 422:145–7PubMed
15.
go back to reference Resnick D (2002) Diagnosis of bone and joint disorders. WB Saunders, Philadelphia, pp 3833–3843 Resnick D (2002) Diagnosis of bone and joint disorders. WB Saunders, Philadelphia, pp 3833–3843
16.
go back to reference Rieger H, Neuber M, Joosten U, Grünert J, Brug E, Strobel M (2000) Therapie und prognose bei Enchondromen der Hand. Der Chirurg 71:1152–1155CrossRef Rieger H, Neuber M, Joosten U, Grünert J, Brug E, Strobel M (2000) Therapie und prognose bei Enchondromen der Hand. Der Chirurg 71:1152–1155CrossRef
17.
go back to reference Sekiya I, Matsui N Otsuka T Kobayashi M, Sohail M (1997) The treatment of enchondromas in the hand by endoscopic curettage without bone grafting. J Hand Surg Br 22:230–234PubMed Sekiya I, Matsui N Otsuka T Kobayashi M, Sohail M (1997) The treatment of enchondromas in the hand by endoscopic curettage without bone grafting. J Hand Surg Br 22:230–234PubMed
18.
go back to reference Schreuder HWB, Pruszczynski M, Veth RPH, Lemmens JAM (1998) Treatment of benign and low-grade malignant intramedullary chondroid tumours with curettage and cryosurgery. Eur J Surg Oncol 24:120–126CrossRefPubMed Schreuder HWB, Pruszczynski M, Veth RPH, Lemmens JAM (1998) Treatment of benign and low-grade malignant intramedullary chondroid tumours with curettage and cryosurgery. Eur J Surg Oncol 24:120–126CrossRefPubMed
19.
go back to reference Schreuder HWB, Keijser LCM, Veth RPH (1999) Favourable results of cryosurgery in 120 patients with benign or low-grade malignant bone tumours. Ned Tijdschr Geneeskd 143:2275–2281PubMed Schreuder HWB, Keijser LCM, Veth RPH (1999) Favourable results of cryosurgery in 120 patients with benign or low-grade malignant bone tumours. Ned Tijdschr Geneeskd 143:2275–2281PubMed
20.
go back to reference Sorge AA van, Feith R, Maas AHM van der, Dreves TA (1989) Resorbable implantation tablets with gentamicin. Ziekenhuisfarmacie 5:145–147 Sorge AA van, Feith R, Maas AHM van der, Dreves TA (1989) Resorbable implantation tablets with gentamicin. Ziekenhuisfarmacie 5:145–147
21.
Metadata
Title
No local recurrence of enchondroma after curettage and plaster filling
Authors
R. D. A. Gaasbeek
W. J. Rijnberg
C. J. M. van Loon
H. Meyers
R. Feith
Publication date
01-02-2005
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 1/2005
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-004-0747-5

Other articles of this Issue 1/2005

Archives of Orthopaedic and Trauma Surgery 1/2005 Go to the issue