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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 8, 1161-1165.
doi: 10.1302/0301-620X.85B8.14059  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Surgical treatment of symptomatic osteochondroma

A THREE- TO EIGHT-YEAR FOLLOW-UP STUDY

F. Bottner, MD, Resident1; R. Rodl, MD, Consultant1; I. Kordish, MD, Medical Student1; W. Winkelmann, MD, Consultant1; G. Gosheger, MD, Consultant1; and N. Lindner, PhD, Consultant1

1 Department of Orthopaedics, University Hospital of Münster, A. Schweitzer Strasse 33, 48129 Münster, Germany.

Correspondence should be sent to Dr F. Bottner.

Our aim was to investigate the outcome of excision of osteochondromas. 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.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General