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Ulnohumeral Bridge Plating for Massive Distal Humerus Bone Loss: A Case Report
Ignacio Rellán1, Luke Thomas Nicholson2, David S Ruch3
1Department of Orthopaedics, Italian Hospital of Buenos Aires, Buenos Aires, Argentina.
JBJS Case Connector
|April 1, 2020
Summary
Massive bone loss in the distal humerus is difficult to treat. A 15 cm defect was successfully reconstructed using the induced membrane technique and temporary bridge plate fixation, offering a viable option for complex fractures.
Area of Science:
- Orthopedic Surgery
- Trauma Reconstruction
- Bone Defect Management
Background:
- Massive bone loss around the elbow, particularly in the distal humerus, presents significant reconstructive challenges.
- Limited periarticular osseous segments restrict available treatment options for distal humerus bone defects.
Observation:
- A 20-year-old male patient experienced an open, intra-articular distal humerus fracture with a substantial 15 cm metaphyseal defect following a motorcycle accident.
Findings:
- The large bone defect was effectively reconstructed utilizing the induced membrane technique.
- Temporary ulnohumeral bridge plate stabilization was employed as a key component of the reconstruction.
Implications:
- This case demonstrates the efficacy of the induced membrane technique combined with temporary bridge plating for managing extensive distal humerus bone loss.
- The described method offers a reliable reconstructive strategy for complex periarticular fractures with significant osseous defects.
