Archives of Orthopaedic and Trauma Surgery

, Volume 123, Issue 8, pp 425–428 | Cite as

Recurrent aggressive chondrosarcoma of the middle phalanx of the index finger: excision and reconstruction with an osteocartilaginous allograft

  • G. Ulrich Exner
  • Charles E. Dumont
  • Theodore I. Malinin
  • Arthur R. von Hochstetter
Case Report



Chondrosarcomas are malignant tumours and need to be treated aggressively including ablative surgery. Bovée et al. and Mankin have recently drawn attention to a less aggressive behaviour of chondrosarcomas of the phalanges compared with those of other localizations including the metacarpals.

Materials and methods

An 12 year follow-up of a patient with a chondrosarcoma of the middle phalanx of the index finger is presented. The lesion was curetted initially, and a repeat curettage was performed 4 years later. Finally, 8 years later the phalanx was excised and reconstructed with an osteocartilaginous allograft. Histologically, the lesion changed from a chondrosarcoma grade I to grade II.


The patient continues to be free of recurrence and metastases 4 years after the final resection.


The potential for systemic disease of chondrosarcomas of the phalanges is probably much lower than in chondrosarcomas of other localizations, and therefore digit-sparing techniques may be considered rather than ablative procedures.


Chondrosarcoma Phalanges 


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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • G. Ulrich Exner
    • 1
  • Charles E. Dumont
    • 1
  • Theodore I. Malinin
    • 2
  • Arthur R. von Hochstetter
    • 3
  1. 1.BALGRIST, Department of OrthopaedicsUniversity of ZürichZürichSwitzerland
  2. 2.Department of OrthopedicsUniversity of MiamiMiamiUSA
  3. 3.Pathologie EngeZürichSwitzerland

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