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

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)425-428
Number of pages4
JournalArchives of Orthopaedic and Trauma Surgery
Volume123
Issue number8
DOIs
StatePublished - Oct 2003

Keywords

  • Chondrosarcoma
  • Phalanges

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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