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Pediatric Coronoid-Deficient Elbow Reconstruction with Iliac Crest Allograft: A Case Report
Christian Shigley1, Jonathan T Yamaguchi1, Lara Shefelbine1
1Department of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington.
JBJS Case Connector
|November 17, 2025
Summary
This study reports a novel technique for pediatric elbow fracture repair. Iliac crest allograft successfully reconstructed a complex coronoid fracture in a child, restoring elbow function.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Trauma surgery
Background:
- Elbow fracture dislocations in children can lead to complex injuries.
- Coronoid process fractures often require surgical intervention for stability.
- Previous treatments for pediatric coronoid fractures have limitations.
Purpose of the Study:
- To describe a case of coronoid reconstruction in a pediatric patient.
- To evaluate the efficacy of iliac crest allograft for complex elbow fractures.
- To present a novel surgical salvage technique.
Main Methods:
- A 5-year-old boy with a right elbow fracture dislocation and comminuted coronoid fracture.
- Failed initial closed reduction and open repair attempts.
- Salvage surgery at 8 weeks post-injury using iliac crest allograft for coronoid reconstruction.
Main Results:
- Successful reconstruction of the coronoid process using an iliac crest allograft.
- The elbow joint remained stable 2.5 years post-operatively.
- The patient experienced no pain and regained functional range of motion.
Conclusions:
- This is the first reported case of coronoid reconstruction with iliac crest allograft in a pediatric patient.
- The technique provides a viable option for complex pediatric elbow fractures.
- Long-term follow-up demonstrated stable, pain-free, and functional elbow recovery.
