Case ReportDistal humeral reconstruction with osteoarticular allograft: A case report and review of the literature
Section snippets
Case report
A 42-year-old man presented with a 2-month history of right arm pain. Examination revealed swelling on the lateral aspect of the elbow, with a slight loss of full extension of the elbow. There was also weakness of the muscles of the elbow due to pain. The hand had full neuro-vascular function. No lymphadenopathy was identified in the antecubital fossa, the axilla, or the neck.
Plain radiographs showed a lytic lesion of the distal lateral humerus extending to the articular surface and with loss
Discussion
Reconstruction after a significant bone loss from tumor resections, trauma, or loosened prostheses can be challenging. Massive bone grafts have been in use for many years with various degrees of success.1, 6, 9, 12 Over time, the benefits, difficulties, and complications of allograft use have been published.2, 7, 10, 15
Extensive allograft, prosthetic, or allograft-prosthesis composite reconstructions are carried out at the elbow after significant post-traumatic arthritis or bone loss,
References (18)
- et al.
Massive allograft replacement of hemiarticular traumatic defects of the elbow
J Hand Surg [Am]
(1988) - et al.
Total elbow arthroplasty with massive composite allografts
J Shoulder Elbow Surg
(2004) - et al.
Incorporation and clinical results of large allografts of the extremities and pelvis
Clin Orthop Relat Res
(1994) - et al.
Immune responses and clinical outcome of massive human osteoarticular allografts
Clin Orthop Relat Res
(1997) - et al.
Coonrad-Morrey total elbow arthroplasty for tumours of the distal humerus and elbow
J Bone Joint Surg Br
(2005) - et al.
Elbow allograft for reconstruction of the elbow with massive bone loss. Long term results
Clin Orthop Relat Res
(1997) - et al.
The results of the surgical treatment of bone tumors using massive homoplastic grafts
Chir Organi Mov
(2003) - et al.
Retrieved human allografts: a clinicopathological study
J Bone Joint Surg Am
(2001) - et al.
Allograft reconstruction of the distal humerus after resection of a breast solitary metastasis: eleven years follow-up
Cell Tissue Bank
(2002)
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Incipient malunion of an isolated humeral trochlea fracture treated with an elbow hemiarthroplasty: Case report
2015, Journal of Hand SurgeryCitation Excerpt :This option was discarded for 2 main reasons. First, the complication incidence reported in the literature is as high as 70%.23 Second, a minimal period of immobilization is required after this procedure to allow the host–allograft junction to heal.
Complications and Survivorship of Distal Humeral Allograft Reconstruction After Tumor Resection: Literature Review and Case Series
2021, Journal of the American Academy of Orthopaedic Surgeons Global Research and ReviewsThere is a role for allografts in reconstructive surgery of the elbow and forearm
2019, Knee Surgery, Sports Traumatology, ArthroscopyEndoprosthetic reconstruction of distal humerus following resection of distal humeral giant cell tumours in six patients in rural India
2017, Malaysian Orthopaedic Journal
No forms of grants, equipment or other such items were received by any of the authors for the preparation and publication of this article, or had influence on the study or its outcomes.