Curettage and Graft with Bovine Substitute for the Treatment of Multiple Benign Bone Tumors Occurred in the Tubular bone of the Children’s Hand |
Jae kwang Kim, Moon Sang Chung, Hyun Sik Gong, Sang Ki Lee, Jin Young Kim, Goo Hyun Baek |
소아 수부 장관골에 발생한 다발성 양성 골종양에서 골소파술 및 우골 이식술 |
김재광, 정문상, 공현식, 이상기, 김진영, 백구현 |
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Abstract |
Purpose The purpose of this study is to evaluate the result of curettage and bovine substitute graft for multiple benign tumors occurred in tubular bone of the children’s hand. Materials and Methods: In this retrospective study, we evaluate 3 patients who underwent surgical treatment of multiple benign tumors. Bovine spongioga bone (Lubboc?) was used to fill the defect of curetted bone Two patients had enchondromatosis and one patient had polyostotic fibrous dysplasia. The mean age at operation was 10 years 3 months (range, 7 years 11 months - 13 years 2 months) and the mean follow-up period was 2 years 4 months (range, 2 years - 2 years 6 months). They were evaluated clinically and radiographycally at 3 week, 6 weeks, 3 months, 6 months, and every 6 month postoperatively. Functional assessment was evaluated by the 4 criteria described by Takigawa and radiographical assessment by the Torida’s classification. Results: There was no postoperative fracture or recurrence. Lubboc? was well incorporated into the surrounding host bone in two patient at 3 months postoperatively and 1 patient at 6 months postoperatively. At final evaluation, 2 patients were excellent, 1 good and 14 phalangeal & metacarpal bones belonged to group I, 1 phalangeal bone group II. Conclusion: Lubboc? is an excellent substitute of autologous bone for multiple benign bone tumors in the hand of children. |
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