Treatment of an Ulnar Fracture Bone Defect Using Heterotopic Bone Autograft: A Case Report
Jeremy Kubiak1, Eugene Farng2, Madeleine Gust3
1Department of Plastic Surgery, Loma Linda University, Loma Linda, California.
JBJS Case Connector
|December 14, 2023
Summary
Heterotopic bone, bone growing in abnormal locations, can be successfully used as an autograft for treating bone defects. This case study demonstrates its efficacy in reconstructing a significant ulnar fracture defect.
Area of Science:
- Orthopedic surgery
- Regenerative medicine
- Bone defect reconstruction
Background:
- Autologous bone grafting is a standard treatment for bony defects.
- Cancellous or corticocancellous bone grafts are typically used.
- The use of heterotopic bone as an autograft source is not widely documented.
Observation:
- A 56-year-old male presented with a 5-cm right ulnar fracture defect after a dog mauling.
- The defect was successfully treated using a heterotopic bone autograft.
Findings:
- Heterotopic bone can be effectively harvested and utilized as an autograft.
- Successful reconstruction of a large bony defect was achieved with heterotopic bone.
Implications:
- This approach offers a potential alternative source for autologous bone grafts.
- Further research into heterotopic bone grafting could expand treatment options for bone defects.


