Curettage Alone with no Graft in Enchondroma of Hand

Enchondroma is the most common benign bone tumor in hand، which can be seen in various manifestations such as swelling، pain، deformity and pathologic fracture. Different surgical treatments were reported for enchondroma to prevent the progressive deformity and pathological fractures. The purpose of this study was to investigate the result of treatment of enchondroma of hand with curettage alone.

In a cross sectional study، 17 patients with average age of 32 years with enchondroma of hand who were operated in a 6-year period in a training hospital in Tehran-Iran were evaluated. The patients received the treatment of tumor removal without filling the resultant defect. The cases were evaluated for range of motion، grip power and radiographic Tordai classification.

In a 15. 2 month (12-88 months) follow-up no recurrence was observed and all of the patients re-gained their previous finger range of motion.

Treatment of enchondroma of hand with curettage alone، without filling the defect would result in satisfactory outcome with low recurrence rate and good restoration of power and function.