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Simple curettage without bone grafting for enchondromas of the foot

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Abstract

Background

Simple curettage without bone grafting for enchondromas of the hand and its good clinical results have been reported. Yet, there have been no reports regarding simple curettage without bone grafting for enchondromas of the foot. The purpose of this study is to elucidate the clinical results of this method for enchondromas of the foot.

Methods

We studied eight patients (ten bones) with enchondromas of the foot treated with simple curettage without bone grafting. After making an oval or round fenestration, the enchondroma was curetted. The cortical window of the fenestration was excised in five bones, whereas it was replaced at the fenestration site in the other five bones.

Results

The affected toe was immobilized with a tape in two patients. All patients began to walk on the day of surgery or the next day without crutches. Sclerotic changes on the plain radiographs were seen 6.4 weeks (range: 4–10 weeks) postoperatively. The patients returned to their normal daily activity including occupation and sport in 8.6 weeks (range: 0–12 weeks) postoperatively. The radiographic appearance was almost normalized in 8.4 months on average (range: 3–14 months). Function was classified as excellent in all bones according to a modified Tordai classification.

Conclusion

We conclude that simple curettage without bone grafting can be one of the standard surgical treatments for enchondromas of the foot.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan

    Takahiro Goto, Hirotaka Kawano, Aiichiro Yamamoto & Kozo Nakamura

  2. Department of Orthopaedic Surgery, Social Insurance Central General Hospital, 169-0073, Tokyo, Japan

    Satoshi Yokokura & Takuo Iijima

  3. Department of Pathology, University of Tokyo Hospital, 113-8655, Tokyo, Japan

    Toru Motoi

  4. Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku, Tokyo 113-8677, Japan

    Takahiro Goto

Authors
  1. Takahiro Goto
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  2. Hirotaka Kawano
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  3. Aiichiro Yamamoto
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  4. Satoshi Yokokura
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  5. Takuo Iijima
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  6. Toru Motoi
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  7. Kozo Nakamura
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Correspondence to Takahiro Goto.

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Goto, T., Kawano, H., Yamamoto, A. et al. Simple curettage without bone grafting for enchondromas of the foot. Arch Orthop Trauma Surg 124, 301–305 (2004). https://doi.org/10.1007/s00402-003-0623-8

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  • DOI: https://doi.org/10.1007/s00402-003-0623-8

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