Hand enchondromas treated with injectable calcium phosphate cement

Abstract

Purpose: The purpose of this study was to evaluate the results of hand enchondroma patients treated by curettage and then filling of the defect with injectable calcium phosphate cement. Material and methods: 16 patients were included in this retrospective study. The radiological, clinical (pain intensity, range of motion) and functional outcomes (Quick-DASH, grip and pinch strengths) were evaluated. Results: There was a significant reduction in mean pain scores post operatively. All patients had full range of motion except 1 patient. New bone formation occurred in seven patients. Ectopic ossification, wound infection and recurrence were not observed in any patient. The mean Quick-DASH score was 7.3±11.9 postoperatively. 90% recovery of grip strength and 85-100% of pinch strength were obtained. Conclusion: Calcium phosphate cement is anticipated as a valuable alternative treatment method of hand enchondromas because of the lack of donor site morbidity, allowing early activity and providing good functional results.