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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.
Case:
A 5-year-old boy sustained a right elbow fracture dislocation with an associated displaced comminuted coronoid fracture. Acute closed reduction as well as an initial attempt at open repair and fixation failed. This case was salvaged 8 weeks after injury with coronoid reconstruction using an iliac crest allograft.
Conclusion:
This is the first reported case of coronoid reconstruction using iliac crest allograft in a pediatric patient. 2.5 years after reconstruction, the elbow joint is stable, pain free, and demonstrates elbow motion well within the range for full function.
