Osteochondral Allograft Reconstruction of a Pediatric Distal Humerus Fracture with Articular Bone Loss: A Case Report.
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.
JBJS Case Connect
Allografts; Child; Female; Fracture Fixation, Internal; Humans; Humeral Fractures; Humerus; Intra-Articular Fractures; Treatment Outcome
Allografts; Internal Fracture Fixation; Humeral Fractures; Humerus; Intra-Articular Fractures; Treatment Outcome
Norrell K, Stanislav D, Sinclair M, Tougas C. Osteochondral Allograft Reconstruction of a Pediatric Distal Humerus Fracture with Articular Bone Loss: A Case Report. JBJS Case Connect. 2022;12(3):10.2106/JBJS.CC.22.00254. Published 2022 Aug 12. doi:10.2106/JBJS.CC.22.00254