Massive allograft replacement of hemiarticular traumatic defects of the elbow

Osteoarticular and Total Elbow Allograft Reconstruction With Severe Bone Loss

“…Regarding allograft elbow reconstruction, the literature is scarce, especially after tumor resection [1,6,35,36]. With only four patients, a small series of hemiarticular posttraumatic defects treated by distal humerus allograft reconstruction were followed for an average of 5 years [6].…”

“…As experience with allograft implantation has advanced during the past 25 years, it has become clear the results of allograft transplants depend on a multitude of factors [5, 7, 9, 14, 16, 22-26, 28, 29]. These factors include not only the type of allograft implanted (osteoarticular versus intercalary versus total joint transplantation) but also the particular joint reconstructed [6,8,14,17,20,[23][24][25][26].…”

“…Although multiple case series of elbow allograft reconstructions used in the salvage for posttraumatic elbow injuries have been reported [2,6,10,11,17,35,36], a review of the literature failed to reveal a series specifically devoted to elbow osteoarticular allograft reconstruction after tumor resection. One series reported on two similar reconstructions of the distal humerus in 20 patients with nonunions of the distal humerus, whereas another reported on two series of complete elbow allograft reconstruction for salvage after failed total elbow arthroplasties [1,15,19].…”

Distal humerus kaynamamaları

“…[11] Kaynamayan humerus distal uçta; açık redüksiyon internal tespit ve gerekirse greftleme [2,3,13] , protez replasmanı [17] , allogreft ile dirsek replasmanı [18] , dirsek artrodezi [11] , distraksiyon artroplastisi [19] , Ilizarov tekniği ile osteosentez [20] tedavileri uygulanabilir. Kondil [9] ve epikondil kaynamamasında ise açık redüksiyon internal tespit ve gerekirse greftleme yapılabilir.…”

Radius Neck–to–Humerus Trochlea Transposition for Elbow Reconstruction After Resection of the Proximal Ulna: Report of 2 Cases

“…Several reconstructive options have been described. [1][2][3][4][5][6][7] These include bracing, structural vascularized bone grafting with internal fixation, osteoarticular ulna allograft with internal fixation, elbow arthrodesis with intercalary bone grafting, and custom total elbow replacement. Complications of these procedures include infection, fracture, nonunion, Charcot-type articular degeneration, prosthetic loosening, and prosthetic failure with fracture.…”