Title

Osteochondral Allograft Reconstruction of a Pediatric Distal Humerus Fracture with Articular Bone Loss: A Case Report.

Document Type

Article

Publication Date

8-12-2022

Identifier

DOI: 10.2106/JBJS.CC.22.00254

Abstract

CASE: A right hand dominant 10-year-old girl presenting with an open right distal humerus fracture dislocation involving complete medial column bone loss and a >50% trochlea defect was reconstructed with a size-matched, fresh distal humerus osteochondral allograft. Successful bony integration and functional elbow range of motion were achieved.

CONCLUSION: A paucity of literature exists to guide the treatment of pediatric distal humerus fractures with significant bone loss. Despite complications associated with osteochondral allografts, they provide a reasonable treatment option to preserve elbow motion in children with unreconstructible intra-articular distal humerus fractures to avoid arthrodesis.

Journal Title

JBJS Case Connect

Volume

12

Issue

3

MeSH Keywords

Allografts; Child; Female; Fracture Fixation, Internal; Humans; Humeral Fractures; Humerus; Intra-Articular Fractures; Treatment Outcome

Keywords

Allografts; Internal Fracture Fixation; Humeral Fractures; Humerus; Intra-Articular Fractures; Treatment Outcome

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