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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

Abstract

Introduction

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.

Result

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

Conclusion

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.

Keywords

Chondrosarcoma Phalanges 

References

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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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