Long-term results of different surgical options in the management of solitary enchondroma

Backgrounds We aimed to compare the average 10-year results of patients treated with three different surgical methods, that is, extended curettage, extended curettage with grafting and extended curettage with cementation for the management of solitary enchondromas. Methods Two hundreds and three patients with a solitary enchondroma who underwent surgery at our department between 1990 and 2015 were evaluated retrospectively. Only extended curettage was performed in Group A (n: 75), extended curettage with grafting with autologous bone graft from the iliac crest in Group B (n: 58), and extended curettage with bone cement in Group C (n: 70). Surgical complications and recurrence were analysed and compared between these groups. Results No significant differences were noted among the groups in terms of gender (P = 0.654), age (P = 0.264) and follow-up duration (P = 0.919). The mean follow-up period in all groups was 122.9 +/- 39 (range: 60-271) months. In addition to curettage and cementation, three patients received mechanical support with plate screws because of fracture risk. One patient in the extended curettage with grafting group had surgical site infection that was treated with simple debridement and antibiotherapy. One patient in the extended curettage group had lost motions of the proximal interphalangeal joint, which was treated with aggressive physiotherapy. Conclusion We compared the average 10-year results of patients treated with three surgical options, namely, extended curettage, extended curettage with grafting, and extended curettage with cementation and no difference was found among the groups in local control of solitary enchondromas

Long-term Results of in Situ Pinning Treatment of Femoral Head Slippage Patients

Introduction: Slipped capital femoral epiphysis (SCFE) is a disease that occurs as a result of the posterior and inferior displacement of the femur head. SCFE is the most common hip pathology in adolescence. It is classified as stable and unstable SCFE according to the loadability of the affected leg. The widely accepted method for stable SCFE treatment is in situ pinning. In situ pinning is an effective method for relieving pain in the early period and preventing the progression of slippage. On the other hand, because of the non-anatomic reduction of physis, it is expected in middle and long-term osteo-arthritis. Our aim in this study is to report the long-term functional outcomes of patients with SCFE who were treated with in situ fixation at a trauma center

Effects of Collagen- and Arginine-Fortified Osteokine Supplementation on Fracture Healing

Introductio

Can Normal Fracture Healing Be Achieved When the Implant Is Retained on the Basis of Infection? An Experimental Animal Model

Infection after open fractures is a common complication. Treatment options for infections developed after intramedullary nailing surgery remain a topic of controversy. We therefore used a rat fracture model to evaluate the effects of infection on osseous union when the implant was maintained