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Adjunctive treatment of enchondromas with CO 2 laser
Author(s) -
Giles Danny W.,
Miller Stephen J.,
Rayan Ghazi M.
Publication year - 1999
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/(sici)1096-9101(1999)24:3<187::aid-lsm3>3.0.co;2-v
Subject(s) - curettage , medicine , surgery , bone grafting , radiography , range of motion , iliac bone
Study Design/Materials and Methods Fourteen enchondromas, in eight patients, involving the tubular bones of the hand, were treated with curettage, CO 2 laser sterilization of the tumor margins followed by autologous bone grafting. Average follow‐up time was 35.4 months (14–106 months). Average patients age was 29 years. Results At follow‐up there were no clinical recurrences, none had pain, and all patients reported satisfactory hand function without limitations. Minimal decrease in range of motion without functional limitation was encountered following excision of two lesions (14%) in one patient. One patient reported an increase in range of motion after excision. Grip strength was only minimally decreased. There was no radiographic evidence of recurrence. Conclusion The use of CO 2 laser is safe and effective as an adjunct to curettage and bone grafting in the management of relatively large enchondromas of the tubular bones of the hand. Lasers Surg. Med. 24:187–193, 1999. © 1999 Wiley‐Liss, Inc.