[Therapy of enchondroma with a plaster implant--renaissance of a treatment principle].
The treatment of tuberculous osteitis, osteomyelitis or bone tumors by filling the cavity with plaster of Paris implants after complete removal of the focus or tumor tissue by curettage is a method, nearly 100 years old, practised successfully again and again but little noted. Finally Richter et al. gave an account of 25 cases of tuberculous osteitis, osteomyelitis and bone tumors treated by this method. We have practised this method since 1984 in the treatment of enchondroma. Careful scraping-out with a sharp curette, milling the sclerosed wall and rinsing the cavity with dehydrated alcohol is followed by immediate reconstruction, filling the cavity with a gamma-ray-sterilized CaSO4-paste mixed with the local antibiotic Nebacetin siccum. As observed by other authors, this implant clearly stimulates osteogenesis. It is not necessary to take spongiosa fragments out of the iliac crest and we need no general anaesthesia. There were no complications and no tumor recurrences thus far.
D001859:Bone Neoplasms / Q000601:surgery*; D002133:Calcium Sulfate; D002812:Chondroma / Q000601:surgery*; D006225:Hand / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D019736:Prostheses and Implants; D014945:Wound Healing
D002133:Calcium Sulfate
Enchondromtherapie mit Gipsplombe--Renaissance eines Behandlungsprinzips.