St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

Department of Orthopedics

The Department of Orthopedics specializes in the diagnosis and treatment of all congenital and acquired diseases of the musculoskeletal system.

Hospital Waldbrol Oberberg

9.7/10 from 23 Votes
location_onGermany, Waldbrоl

Department of Orthopedics and Trauma Surgery, Hand and Foot Surgery and Reconstructive Surgery

The Department of Orthopedics and Trauma Surgery, Hand and Foot Surgery and Reconstructive Surgery offers the full range of medical services in accordance with the latest scientific achievements of medicine.

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes
location_onGermany, Munich

Department of Orthopedics

The specialties Orthopedics, Physical Medicine and Rehabilitation closely cooperate at the Department of Orthopedics, Physical Medicine and Rehabilitation at the University Hospital of Munich.

Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes
location_onGermany, Grevenbroich

Department of General, Visceral, Vascular Surgery and Traumatology

The Department of General, Abdominal, Vascular Surgery and Traumatology at the Hospital St. Elisabeth Grevenbroich specializes in abdominal and vascular surgery, as well as in the treatment of victims of accidents.

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich

Department of Orthopedics and Sports Medicine

The Department of Orthopedics and Sports Medicine at the university hospital Klinikum rechts der Isar has long-time experience in the treatment of all bone diseases, joints, muscles, ligaments and tendons, i. e. of the entire musculoskeletal apparatus.

Chondromas are benign tumors of the cartilage, characteristic mainly of children and youth. The formations can be located on the internal (enhondromas) or external (ecchondromaa) bone surface. In the first case, there is a higher probability of tumor degeneration into a malignant one. This disease commonly affects the bones of the hands and feet, and rarely shoulders, thighs, and skullbase. The diagnosis is confirmed by biopsy.

Treatment Methods

Upon asymptomatic process, the patient is subject to a dynamic follow-up. Sometimes, the chondroma growth stops at the time of skeletal maturity. The emergence of negative symptoms, signs of bone loss or tumor malignancy is an indication for surgical intervention. The surgery tactics is selected based on the formation size and location.

For small chondromas of hands and feet, the curettage, i.e. tumor scraping from the bone, may be performed. The emerging cavity is filled with bone chips taken from the other bones of the same patient or from a donor. The removed tissue is sent for histological examination.

If a tumor has grown into the bone tissue, the bone resection is performed. During surgery, the defect is replace with an autograft or an allograft.

For lesions of long bones, the preference is always given to a radical intervention, since in these cases there is a high risk of tumor malignant transformation. The bone removal is also combined with transplantation. In the absence of the bone graft, a metal prosthesis can be installed.

Chondromas of the skull base are excised using endoscopic techniques, introducing instruments through the patient’s nasal cavity. Alternatively, or in addition to the surgery, a radiosurgery (Gamma Knife) is used. The method implies the tumor irradiation with a high-dose radiation, causing the cell death. Multiple radiation flows are formed so that to affect the pathological center to the maximum possible and to avoid damage to the healthy tissue. The procedure is performed only once. The treatment effect is manifested over the next 6 to 24 months.

For small chondromas, radiosurgery may be used as a sole therapy. After a conventional surgery, the technique is prescribed to destroy the residual tumor.

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