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Published on: May 21, 2013
Osteochondral Allograft Reconstruction of a Pediatric Distal Humerus Fracture with Articular Bone Loss: A Case Report
Kirsten Norrell1, Derec Stanislav2, Micah Sinclair3
1Department of Orthopaedic Surgery, University of Missouri Kansas City, Kansas City, Missouri.
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.
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