Surgical treatment of symptomatic osteochondroma. A three- to eight-year follow-up study.
Our aim was to investigate the outcome of excision ofosteochondromas. Between 1994 and 1998, 92 symptomatic osteochondromas in 86 patients were excised. There were 40 women and 46 men with a mean age of 20 years (3 to 62). Of these, 56 had a solitary osteochondroma and 30 had multiple hereditary tumours. The presenting symptoms were pain (79.1%), swelling (23.3%), reduced range of movement (19.8%), cosmetic abnormalities (17.4%), and bursitis (12.8%). The most common site (37.6%) was around the knee. Four patients had major complications (4.7%) including one intra-operative fracture of the femoral neck and three nerve palsies which resolved after decompression. Six patients had minor complications. Overall, 93.4% of the preoperative symptoms resolved after excision of the tumours. Excision is a successful form of treatment for symptomatic osteochondromas with a low morbidity.
Bottner
F
F
Department of Orthopaedics, University Hospital of Münster, Germany.
Rodl
R
R
Kordish
I
I
Winklemann
W
W
Gosheger
G
G
Lindner
N
N
D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000150:complications / Q000534:rehabilitation / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002813:Chondrosarcoma / Q000473:pathology; D017281:Cost of Illness; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery; D015831:Osteochondroma / Q000150:complications / Q000534:rehabilitation / Q000601:surgery*; D010149:Postoperative Pain; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome