Allografting for traumatic intercalary femoral defects: a report of three cases

Fewer than 10 cases of allografts used to fill traumatic massive skeletal defects have been reported (10). The threat of infection following an open fracture is the greatest concern when using allografts to fill these defects since allografts are massive necrotic bone fragments and remain so for prolonged periods of time. Three patients with traumatic intercalary femoral defects treated with allograft substitution were followed until bony union. Two of the patients experienced complications related to the allografts. However, both of these patients have returned to work with painless lower limbs. The third has healed and returned to a more sedentary occupation.