Osteoscopic versus open surgery for the treatment of enchondroma in the foot.
Osteoscopic versus open surgery for the treatment of enchondroma in the foot.
复制标题
骨镜与开放手术治疗足部内生软骨瘤的比较。
DOI：
10.1007/s00402-023-04816-y
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Tachibana T.
中科院分区：
文献类型：
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作者：
Futani H;Kawaguchi T;Sawai T;Tachibana T.
内软骨瘤的常规治疗方法是开放性手术并刮除病灶。骨镜手术是一种微创内窥镜治疗骨内病变的方法。本研究的目的是评估骨镜手术与传统开放手术治疗足内生软骨瘤患者的可行性。材料与方法一项回顾性队列研究比较了2000年至2019年接受骨镜或开放手术治疗的足部内生纤维瘤患者。功能评估基于AOFAS评分和肌肉骨骼肿瘤协会（MSTS）功能率。观察并发症及局部复发率。结果17例患者行内窥镜手术，8例行开放手术。术后1周和2周，骨镜组的AOFAS评分高于开放组（平均89.18 vs 67.25 [p= 0.001], 93.88 vs 79.38 [p= 0.004]）。术后1周和2周，骨镜组的MSTS功能率也高于开放组（平均81.96 vs 59.58% [p= 0.00], 90.98 vs 75.00% [p= 0.02]）。术后1个月无统计学差异。骨镜组并发症发生率低于开放组（12% vs 50%;p= 0.04）。两组均未见局部复发。结论与开放手术相比，骨镜手术功能恢复早，并发症少，是可行的。
IntroductionThe conventional treatment of enchondromas is the open surgery with curettage of lesions. Osteoscopic surgery is a minimally invasive endoscopic approach for lesions inside bone. The aim of this study was to evaluate the feasibility of the osteoscopic surgery in comparison with the conventional open surgery for patients with foot enchondromas.Materials and methodsA retrospective cohort study comparing patients with foot enchondromas treated with osteoscopic or open surgery from 2000 to 2019. Functional evaluations were based on both the AOFAS score and the Musculoskeletal Tumor Society (MSTS) functional rate. Complication and local recurrence were evaluated.ResultsSeventeen patients underwent endoscopic surgery, and eight patients underwent open surgery. The AOFAS score was higher in the osteoscopic group than the open group at 1 and 2 weeks after surgery (mean, 89.18 vs 67.25 [p= 0.001], 93.88 vs 79.38 [p= 0.004]). The MSTS functional rate was also higher in the osteoscopic group than the open group at 1 and 2 weeks after surgery (mean, 81.96 vs 59.58% [p= 0.00], 90.98 vs 75.00% [p= 0.02]). No statistical differences were found after 1-month of surgery. The osteoscopic group had lower complication rate than the open group (12 vs 50%;p= 0.04). No local recurrence was found in any groups.ConclusionThe osteoscopic surgery is feasible to provide earlier functional recovery and fewer complications than the open surgery.