title: Simple curettage without bone grafting for enchondromas of the foot.
abstract: BACKGROUND
  Simple curettage without bone grafting for enchondromas of the hand and its good clinical results have been reported. Yet, there have been no reports regarding simple curettage without bone grafting for enchondromas of the foot. The purpose of this study is to elucidate the clinical results of this method for enchondromas of the foot.
  
  
  METHODS
  We studied eight patients (ten bones) with enchondromas of the foot treated with simple curettage without bone grafting. After making an oval or round fenestration, the enchondroma was curetted. The cortical window of the fenestration was excised in five bones, whereas it was replaced at the fenestration site in the other five bones.
  
  
  RESULTS
  The affected toe was immobilized with a tape in two patients. All patients began to walk on the day of surgery or the next day without crutches. Sclerotic changes on the plain radiographs were seen 6.4 weeks (range: 4-10 weeks) postoperatively. The patients returned to their normal daily activity including occupation and sport in 8.6 weeks (range: 0-12 weeks) postoperatively. The radiographic appearance was almost normalized in 8.4 months on average (range: 3-14 months). Function was classified as excellent in all bones according to a modified Tordai classification.
  
  
  CONCLUSIONS
  We conclude that simple curettage without bone grafting can be one of the standard surgical treatments for enchondromas of the foot.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655 Tokyo, Japan. goto-tky@cick.jp
authors.forename: Takahiro
authors.initials: T
authors.lastname: Goto
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Kawano
authors.forename: Aiichiro
authors.initials: A
authors.lastname: Yamamoto
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yokokura
authors.forename: Takuo
authors.initials: T
authors.lastname: Iijima
authors.forename: Toru
authors.initials: T
authors.lastname: Motoi
authors.forename: Kozo
authors.initials: K
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D002812:Chondroma / Q000000981:diagnostic imaging / Q000601:surgery*; D003475:Curettage; D005260:Female; D005528:Foot / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome