How is the enchondrome treated?

After the operation, the patient is immobilized for a period of time that depends on the extent of the enchondrome. The following rule of thumb applies: the more extensive the enchondrome, the longer the period of immobilization after the operation. Scars appear on the operated area, which, however, are hardly visible after 1 – 2 years.

The scars are still very sensitive, especially in the first days and weeks after the operation. Sensory disturbances can occur especially in the hand area, which has a very high density of sensory nerves. Postoperatively, pain and swelling can occur over weeks and several months.

This is especially the case when the hand is used again in everyday life. The scar in particular can then also be thickened and reddened. Within the first year after the operation, these symptoms should have subsided completely.

Important note: The hand can usually be used again in everyday life after about six weeks postoperatively. However, care must be taken to avoid overstraining the hand. For this reason, certain sporting activities should still be avoided about four to five months after the operation.

However, this period can be extended if the enchondrome has already severely affected the bone (thinning of the cortex). In such cases, a sports leave of about 6 months is conceivable. Even if the hand can be used again in everyday life about six weeks postoperatively, the hand should be gradually returned to these activities.

A too fast transition can lead to pain and overstrain, which in turn has a negative effect on healing. After the bandages have been removed, the operated hand can be bathed regularly about three times for five minutes in lukewarm water over a period of about two months. Slight movements without great effort and strain should be performed regularly.

Physiotherapy:Patients who are able to move their hand independently without any strain usually do not need physiotherapy. It is reserved for those patients whose area of operation has too little mobility. In general, movements – whether performed independently or as part of physiotherapy – should never cause pain or swelling.