Abstract
Ollier's disease is a rare disorder characterized by multiple enchondromas with a unilateral predominance, especially in fingers in early childhood. We experienced a case of Ollier's disease treated four times with simple curettage from the age of 2 years and alpha-tricalcium phosphate cement grafting at the age of 21 years. The forth curettage was performed when the patient was 15 years old and preoperative X-rays had shown remarkable finger deformities. Postoperative casting of the involved joints was necessary to prevent fractures but led to some finger contractures. Following X-rays demonstrated incredible improvement of the appearance. This suggests that simple curettage alone at an early stage of Ollier's disease provide cosmetic improvement.At the age of 21 years our patient showed enlargement of the intramedullary finger lesions again. Some lesions seemed to be impending pathological fractures. This time we chose alpha-tricalcium phosphate cement to fill the cavities after curettage had been carried out. Harvesting a large amount of autologous bone was not required. All activities of daily life could be resumed immediately after surgery and none of the finger joints showed further restriction of motion. X-rays taken three years after the operation showed new bone ingrowth surrounding the material with little evidence of absorption. To our knowledge, this may be the first case of Ollier's disease treated with artificial bone grafting reported in the English literature.
Highlights
Ollier’s disease is a rare disorder characterized by multiple enchondromas with a unilateral predominace that usually occurs in infancy or early childhood
Multiple enchondromas tend to occur in infancy or early childhood, while solitary enchondromas are most often seen in individuals from 10 to 30 years of age
Solitary enchondromas usually present with the complaint of pain and, occasionally, an associated pathological fracture, Ollier’s disease is initially more often noticed because of the deformity and swelling of the involved limb, especially when fingers are affected
Summary
ISSN: 0300-9734 (Print) 2000-1967 (Online) Journal homepage: https://www.tandfonline.com/loi/iups. Ollier's Disease Treated with Grafting Using Alphatricalcium Phosphate Cement. To cite this article: Daizo Sasaki, Masahito Hatori, Yoshinori Abe & Shoichi Kokubun (2006) Ollier's Disease Treated with Grafting Using Alpha-tricalcium Phosphate Cement. Submit your article to this journal Article views: 106 View related articles Citing articles: 3 View citing articles.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
