The surgical management of the cavity and bone defects in enchondroma cases: A prospective randomized trial

Nazarova, Nigora Z.; Умарова, Г. Ш.; Vaiman, Michael; Асилова, С. У.; Abba, Michael; Foonberg, Maya; Shterenshis, Michael

doi:10.1016/j.suronc.2021.101565

Cited by 5 publications

(3 citation statements)

References 34 publications

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“…In the literature, recurrence rates in enchondromas range from 0% to 13%. Two propositions stand out in this regard 15 . First, relapse cases are usually seen in the early postoperative period and require more frequent follow-up of patients in the early postoperative period.…”

Section: Discussionmentioning

confidence: 99%

“…There are studies on the relationship between the difference in graft materials used and the recurrence rates 16 . Although some studies have reported that recurrence rates are higher in patients using allografts, there are also publications showing that autograft use also increases recurrence rates 15 . In a study evaluating the clinical results of using different grafts, it was revealed that the recurrence rates in both groups were similar and even similar to the placebo groups that did not use a bone substitute 16 .…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of risk factors for recurrence in hand enchondromas, the effect of pathological fracture and graft selection on clinical results

Mirioğlu

KIRAN

KUNDAKÇI

et al. 2022

JoCASS

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Amaç: Enkondrom, falanks ve metakarpusun en sık görülen tümörüdür. Çeşitli teknikler ve yöntemler uzun süredir araştırılmaktadır. Enkondromlu geniş bir hasta yelpazesinde yapılan küretaj ve kullanılan kemik greftinin klinik ve radyolojik sonuçlarını incelemeyi amaçladık. Yöntem: Çalışmaya enkondrom tanısı ile ameliyat edilen 47 hasta dahil edildi. Küretaj sonrası oluşan kavite kemik greftleri ile dolduruldu. Hastaların ortalama yaşı 29.32±15.08 yıl, takip süresi 28.47±25.10 aydı. Standart takip protokolüne uymayan hastalar çalışma dışı bırakıldı. Deneyimli bir ortopedik cerrah radyolojik sonuçları değerlendirdi ve nüksleri olan hastalar için MRG görüntüleri ve raporları hastane veri tabanından alındı. Eklem hareket açıklığı ve gözlenen deformiteye göre klinik değerlendirme yapıldı. Bulgular: Ortalama konsolidasyon süresi 3.08±2.19 aydı. Nüks oranı %6.4’tü. Kırık ile ya da kırıksız başvuran gruplar arasında, allogreft ve otogreft grubu arasında klinik ve radyolojik sonuçlar açısından fark yoktu. Sonuç: Küretaj ve greftleme, enkondrom için hala güncel ve güvenilir bir yöntemdir.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of risk factors for recurrence in hand enchondromas, the effect of pathological fracture and graft selection on clinical results

Mirioğlu

KIRAN

KUNDAKÇI

et al. 2022

JoCASS

View full text Add to dashboard Cite

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“…Nazarova et al 23 compared calcium orthophosphate–based bioceramic granules (HA (Ca 10 (PO 4 ) 6 (OH) 2 ) and collagen) with autogenous bone graft and curettage only in 200 adults with enchondroma. They reported equal outcomes in all groups but observed that autogenous bone graft may increase the risk of tumor recurrence (6/100 with autograft vs 1/100 with bioceramic granules and 1/56 with curettage only).…”

Section: Current Evidencementioning

confidence: 99%

Biodegradable biomaterials in orthopedic surgery: A narrative review of the current evidence

Raitio,

Saarinen,

Sinikumpu

et al. 2023

Scand J Surg

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Background: Biomaterials are routinely used in orthopedic surgery to fill bone defects, improve bone healing, and as degradable fixation material. A wide range of materials are currently in use, and the materials are chosen according to their bioactive properties. Osteoinductive materials stimulate bone healing by promoting osteogenesis. Osteoconductive materials facilitate bone growth on the surface of the material. Despite the many materials in use and an increasing number of published studies, randomized controlled trials on the subject are scarce. Methods: This review aims to summarize the history of biodegradable biomaterials and also the published level I evidence currently available on orthopedic biomaterials. Results: Most of the studies have been superiority trials with non-significant differences compared to conventional treatment options, confirming that several biomaterials are suitable treatment options for multiple indications including bone and/or tendon fixation, filling bone defects, and spinal fusion. Biomaterials help to avoid donor site complications associated with autogenous bone grafts and often eliminate the need for implant removal. However, the surgical technique may in some cases be more demanding than with conventional methods. Careful consideration of the pros and cons is therefore recommended in clinical practice. Conclusion: Biodegradable biomaterials complement the range of available treatment options in several fields of orthopedic surgery. However, some biomaterials performed worse than expected and were not recommended for clinical use, emphasizing the need for high-quality randomized trials. It is also noteworthy that several trials included only a limited number of patients, rendering the interpretation of the results of these underpowered studies challenging.

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Outcome von chirurgischen Eingriffen bei solitären Enchondromen der Hand

et al. 2023

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The surgical management of the cavity and bone defects in enchondroma cases: A prospective randomized trial

Cited by 5 publications

References 34 publications

Evaluation of risk factors for recurrence in hand enchondromas, the effect of pathological fracture and graft selection on clinical results

Evaluation of risk factors for recurrence in hand enchondromas, the effect of pathological fracture and graft selection on clinical results

Biodegradable biomaterials in orthopedic surgery: A narrative review of the current evidence

Outcome von chirurgischen Eingriffen bei solitären Enchondromen der Hand

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