Osteochondral Allograft Reconstruction of a Pediatric Distal Humerus Fracture with Articular Bone Loss: A Case Report
Document Type
Article
Publication Title
JB&JS Case Connector
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.
DOI
10.2106/JBJS.CC.22.00254
Publication Date
8-12-2022
Keywords
distal humerus fracture, osteochondral allograft, pediatric, elbow trauma
ISSN
2160-3251
Recommended Citation
Norrell K, Stanislav D, Sinclair M, Tougas C. Osteochondral Allograft Reconstruction of a Pediatric Distal Humerus Fracture with Articular Bone Loss: A Case Report. JB&JS Case Connector. 2022; 12(3). doi: 10.2106/JBJS.CC.22.00254.