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Cirugía Plástica Ibero-Latinoamericana

On-line version ISSN 1989-2055Print version ISSN 0376-7892

Abstract

PENA-CABUS, Guillermo; MARTINEZ-BARAHONA, Ludin D.  and  ORELLANA-MALDONADO, Dalia A.. Phalanx autologous reconstruction after enchondroma resection. A technical proposal. Cir. plást. iberolatinoam. [online]. 2017, vol.43, n.4, pp.401-410. ISSN 1989-2055.  http://dx.doi.org/10.4321/s0376-78922017000500011.

Background and Objective:

Treatment of the bone tissue surgical defect of the phalanx after a major resection of an enchondroma tumor could be particularly difficult in order to get an early postoperative functional recovery.

We describe a combination of technical resources as an appropriate reconstructive option to treat these cases under similar conditions.

Methods:

Our procedure proposal is based on: A) Appropriate tumor resection according to the diagnostic tumor images and of its medullar inner, preserving surrounding functional structures; B) Proper management of the residual instability with autologous monocortical bone graft and rigid internal fixation; C) Addition of platelet derived growth factors as biological inductors to improve bone graft integration.

Results:

We present the management of 2 clinical cases solved using the described technique, with an early functional rehabilitation.

Conclusions:

The satisfactory results obtained are of a sufficient practical value to considerer our technique as an integral reconstructive proposal to get a satisfactory solution of phalanx bone defects after surgical treatment of enchondromas, using a combination of technical resources available nowadays.

Keywords : Enchondroma; Phalanx; Surgical reconstruction; Bone graft; Platelet rich plasm; PRP.

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