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 Görüntüleme 13
Comparison of distal radius autograft technique with iliac crest autograft technique in solitary finger enchondramas
2022
Dergi:  
Şişli Etfal Hastanesi Tıp Bülteni
Yazar:  
Özet:

Objectives: The purpose of the study was to compare clinical and radiological outcomes of autografts obtained from the iliac crest (IC) and distal radius (DR) and to evaluate their superiority for surgical treatment of solitary finger enchondromas. Methods: Twenty-five patients for whom curettage and autografting were carried out for finger enchondroma were retrospectively analyzed. DR autograft was used in eight patients and IC autograft was used in 17 patients. Data on pre-operative total active motion (TAM), disabilities of the arm, shoulder, and hand (DASH) score, and pain visual analog scale (VAS) scores of the involved finger, duration of surgery, amount of bleeding during the operation, length of hospital stay, presence of complications related to anesthesia, and post-operative donor site morbidity were obtained. Pre-operative and post-operative 12th month radiographies were evaluated for pre-operative tumor volume, post-operative remnant volume, and Tordai radiologic evaluation grade. Results: No statistically significant difference could be identified between post-operative TAM (p=0.154), DASH (p=0.458), pain VAS scores (p=0.571), remnant volume (p=0.496), Tordai radiologic evaluation grade (p=0.522), duration of surgery (p=0.288), and amount of bleeding (p=0.114) between DR and IC groups. However, mean hospital stay duration was shorter for the DR group (p=0.0001). Recurrence was observed in one patient in the DR group and three patients in the IC group (p=0.996). Conclusion: The clinical and radiological outcomes of grafting from the DR and IC were similar in the treatment of hand enchondromas. However, grafting from the DR may result in shorter hospital stay compared to IC grafting.

Anahtar Kelimeler:

Comparison of the distal radiustan autogrefting technique in finger encondroms with the wing wing autogrefting technique
2022
Yazar:  
Özet:

Comparing the clinical and radiological outcomes of autogrefts obtained from olive cryst (IC) and distal radiost (DR) in the surgical treatment of solitary finger encondroms and evaluating their mutual advantages. The method was examined as retrospective by 25 patients applied curetage and autogreft due to finger encondrom. In 8 of these patients, DR autogrefti was used, and in 17, HR autogrefti was used. The pre-operative total active joint movement openness (TAM), disabilities of the arm, shoulder and hand (DASH) score and visual analogue scale (VAS) scores of the affected finger, the duration of the operation, the amount of bleeding during the operation, the duration of stay in the hospital, the presence of anesthesia-related complications and the postoperative donor field morbidity were obtained. Before and after the operation. In the moon radiographs, the volume of the pre-operative tumor, the remaining volume of the postoperative injury and the Tordai radiological assessment were measured. There was no statistically significant difference between the DR and HR groups after surgery TAM (p=0,154), DASH (p=0,458), pain VAS scores (p=0,571), remaining volume (p=0,496), Tordai radiological evaluation degree (p=0,522), surgery time (p=0,288) and the amount of bleeding (p=0,114). However, the average stay in the hospital was shorter in the DR group (p=0.0001). 1 patient in the DR group and 3 patients in the HR group (p=0,996). The result was similar in the treatment of hand-finger encondromes, the clinical and radiological results of DR and HR injection. However, in the DR’s transplant, he had a shorter hospital stay period than the HR’s transplant. (SETB-2021-12-366)

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0
2022
Yazar:  
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Şişli Etfal Hastanesi Tıp Bülteni

Alan :   Sağlık Bilimleri

Dergi Türü :   Ulusal

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Şişli Etfal Hastanesi Tıp Bülteni