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Mid-term results of autograft and xenograft applications in hand enchondromas

Eyup Cagatay Zengin, Ahmet Savran, Hakan Ertem, Sertac Saruhan, Cumhur Davulcu, Muhittin Sener.


Abstract
Objectives: We evaluated the mid-term results of treatment with curettage followed by an autograft or xenograft application in patients with enchondroma of the hand.
Methods and Material: Between 2013-2017, 24 patients (13 males, 11 females; mean age 32 years; range 18-74 years) were operated for enchondroma of the hand. Following curettage of the lesion, reconstruction of the defect was made either by an autograft obtained from the iliac crest (n=16) or by a bovine xenograft (n=8). Functional and radiographic results were assessed according to the QDASH scoring system and the Tordai classification system, respectively.
Results: In the autograft group, the grafts were seen to be radiologically incorporated at mean five weeks (range, 4-6 weeks). In the functional results, the mean QDASH score was 2.4. No residual pain was determined in any patient, and all patients achieved full ROM. In the xenograft group, the grafts were seen to be radiologically incorporated at mean 16 weeks (range, 12-24 weeks). In the functional results, the mean QDASH score was 5.2. Non-union or recurrence was not determined in any patient of either group at the final follow-up examination.
Conclusion: Clinically similar successful results were seen in the treatment of enchondroma in hand using autograft or xenograft. Due to the limited resources of autograft and the high costs of the synthetic matrix, the option of xenograft seems to be more sustainable for orthopedic problems.

Key words: Bone graft, hand enchondroma, xenografting

 

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How to Cite this Article
Pubmed Style

Zengin EC, Savran A, Ertem H, Saruhan S, Davulcu C, Sener M. Mid-term results of autograft and xenograft applications in hand enchondromas. Hand Microsurg. 2019; 8(1): 28-34. doi:10.5455/handmicrosurg.19499


Web Style

Zengin EC, Savran A, Ertem H, Saruhan S, Davulcu C, Sener M. Mid-term results of autograft and xenograft applications in hand enchondromas. http://handmicrosurgeryjournal.com/?mno=19499 [Access: May 22, 2019]. doi:10.5455/handmicrosurg.19499


AMA (American Medical Association) Style

Zengin EC, Savran A, Ertem H, Saruhan S, Davulcu C, Sener M. Mid-term results of autograft and xenograft applications in hand enchondromas. Hand Microsurg. 2019; 8(1): 28-34. doi:10.5455/handmicrosurg.19499


Vancouver/ICMJE Style

Zengin EC, Savran A, Ertem H, Saruhan S, Davulcu C, Sener M. Mid-term results of autograft and xenograft applications in hand enchondromas. Hand Microsurg. (2019), [cited May 22, 2019]; 8(1): 28-34. doi:10.5455/handmicrosurg.19499


Harvard Style

Zengin, E. C., Savran, . A., Ertem, . H., Saruhan, . S., Davulcu, . C. & Sener, . M. (2019) Mid-term results of autograft and xenograft applications in hand enchondromas. Hand Microsurg, 8 (1), 28-34. doi:10.5455/handmicrosurg.19499


Turabian Style

Zengin, Eyup Cagatay, Ahmet Savran, Hakan Ertem, Sertac Saruhan, Cumhur Davulcu, and Muhittin Sener. 2019. Mid-term results of autograft and xenograft applications in hand enchondromas. Hand and Microsurgery, 8 (1), 28-34. doi:10.5455/handmicrosurg.19499


Chicago Style

Zengin, Eyup Cagatay, Ahmet Savran, Hakan Ertem, Sertac Saruhan, Cumhur Davulcu, and Muhittin Sener. “Mid-term results of autograft and xenograft applications in hand enchondromas.” Hand and Microsurgery 8 (2019), 28-34. doi:10.5455/handmicrosurg.19499


MLA (The Modern Language Association) Style

Zengin, Eyup Cagatay, Ahmet Savran, Hakan Ertem, Sertac Saruhan, Cumhur Davulcu, and Muhittin Sener. “Mid-term results of autograft and xenograft applications in hand enchondromas.” Hand and Microsurgery 8.1 (2019), 28-34. Print. doi:10.5455/handmicrosurg.19499


APA (American Psychological Association) Style

Zengin, E. C., Savran, . A., Ertem, . H., Saruhan, . S., Davulcu, . C. & Sener, . M. (2019) Mid-term results of autograft and xenograft applications in hand enchondromas. Hand and Microsurgery, 8 (1), 28-34. doi:10.5455/handmicrosurg.19499