Osteochondroma surgery

Osteochondroma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Overview

Surgery is the mainstay of therapy for osteochondroma.

Surgery

• Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton by x-ray evaluation).
• This approach decreases the chance of the tumoral recurrence.
• Pedunculated osteochondromas are more easily removed.
• Solitary osteochondromas are not removed surgically; observational surveillance is suggested.
• Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.

Indications

Indications for surgery for osteochondroma, include:

• Pain with physical activity
• Bone deformity
• Limited range of motion
• Compromised nerve or blood vessel
• Irregular large cap of cartilage (> 2cm)