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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2011

01-04-2011 | Knee

Unicondylar osteoarticular allograft reconstruction of the distal femur in a patient with a traumatic osteoaticular defect of the lateral femoral condyle

Authors: Ju Hong Lee, Seong Il Wang, Hee Rack Choi, Byung Yun Hwang, Young Jin Lim, Jin Sang Wie, Soon Ho Huh

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2011

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Abstract

Purpose

The objective of this study was to report the clinical results for a patient with a post-traumatic osteoarticular defect of the lateral femoral condyle treated with unicondylar osteoarticular allograft reconstruction.

Method

We describe the case with a massive osteoarticular loss of the lateral femoral condyle combined with a grade IIIA open distal femoral diaphyesal fracture. The patient underwent unicondylar osteoarticular reconstruction with an allogenic fresh-frozen condyle.

Results

There were no complications after the reconstructive procedure. At the five year follow-up, the patient showed a favorable clinical outcome with a full range of motion of the knee joint. Degenerative changes were seen in the graft compartment, but they did not cause serious functional limitations.

Conclusion

Unicondylar allograft reconstruction appears to be a surgical option for patients who suffer from a post-traumatic distal femoral osteoarticular defect in which only one condyle is absent or severely damaged.
Literature
1.
go back to reference Bianchi G, Staals EL, Donati D, Mercuri M (2009) The use of unicondylar osteoarticular allografts in reconstructions around the knee. Knee 16:1–5PubMedCrossRef Bianchi G, Staals EL, Donati D, Mercuri M (2009) The use of unicondylar osteoarticular allografts in reconstructions around the knee. Knee 16:1–5PubMedCrossRef
2.
go back to reference Cavadas PC, landin L, Ibáñez J, Nthumba P (2010) Reconstruction of major traumatic segmental bone defects of the tibia with vascularized bone transfer. Plast Reconstr Surg 125:215–223PubMedCrossRef Cavadas PC, landin L, Ibáñez J, Nthumba P (2010) Reconstruction of major traumatic segmental bone defects of the tibia with vascularized bone transfer. Plast Reconstr Surg 125:215–223PubMedCrossRef
3.
go back to reference Jaffe KA, Morris SG, Sorrell RG, Gebhardt MC, Mankin HJ (1991) Massive bone allografts for traumatic skeletal defects. South Med J 84:975–982PubMed Jaffe KA, Morris SG, Sorrell RG, Gebhardt MC, Mankin HJ (1991) Massive bone allografts for traumatic skeletal defects. South Med J 84:975–982PubMed
4.
go back to reference Muscolo DL, Ayerza MA, Aponte-Tinao LA, Abalo E, Farfalli (2008) Unicondylar osteoarticular allografts of the knee. Surgical technique. J Bone Joint Surg Am 90:206–217PubMedCrossRef Muscolo DL, Ayerza MA, Aponte-Tinao LA, Abalo E, Farfalli (2008) Unicondylar osteoarticular allografts of the knee. Surgical technique. J Bone Joint Surg Am 90:206–217PubMedCrossRef
5.
go back to reference Muscolo DL, Ayerza MA, Aponte-Tinao L, Farfalli G (2008) Allograft reconstruction after sarcoma resection in children younger than 10 years old. Clin Orthop Relat Res 466:1856–1862PubMedCrossRef Muscolo DL, Ayerza MA, Aponte-Tinao L, Farfalli G (2008) Allograft reconstruction after sarcoma resection in children younger than 10 years old. Clin Orthop Relat Res 466:1856–1862PubMedCrossRef
6.
go back to reference Muscolo DL, Ayerza MA, Aponte-Tinao LA (2006) Massive allograft use in orthopedic oncology. Orthop Clin North Am 37:65–74PubMedCrossRef Muscolo DL, Ayerza MA, Aponte-Tinao LA (2006) Massive allograft use in orthopedic oncology. Orthop Clin North Am 37:65–74PubMedCrossRef
7.
go back to reference Muscolo DL, Ayerza MA, Aponte-Tinao LA, Ranalletta M (2004) Distal femur osteoarticular allograft reconstruction after grade III open fractures in pediatric patients. J Orthop Trauma 18:312–315PubMedCrossRef Muscolo DL, Ayerza MA, Aponte-Tinao LA, Ranalletta M (2004) Distal femur osteoarticular allograft reconstruction after grade III open fractures in pediatric patients. J Orthop Trauma 18:312–315PubMedCrossRef
8.
go back to reference Muscolo DL, Ayerza MA, Aponte-Tinao LA, Ranalletta M (2005) Use of distal femoral osteoarticular allografts in limb salvage surgery. J Bone Joint Surg Am 87:2449–2455PubMedCrossRef Muscolo DL, Ayerza MA, Aponte-Tinao LA, Ranalletta M (2005) Use of distal femoral osteoarticular allografts in limb salvage surgery. J Bone Joint Surg Am 87:2449–2455PubMedCrossRef
9.
go back to reference Muscolo DL, Ayerza MA, Aponte-Tinao LA (2000) Survivorship and radiographic analysis of knee osteoarticular allografts. Clin Orthop Relat Res 373:73–79PubMedCrossRef Muscolo DL, Ayerza MA, Aponte-Tinao LA (2000) Survivorship and radiographic analysis of knee osteoarticular allografts. Clin Orthop Relat Res 373:73–79PubMedCrossRef
10.
go back to reference Muscolo DL, Ayerza MA, Farfalli G, Aponte-Tinao LA (2010) Proximal tibia osteoarticular allograft in tumor limb salvage surgery. Clin Orthop Relat Res 468:1396–1404PubMedCrossRef Muscolo DL, Ayerza MA, Farfalli G, Aponte-Tinao LA (2010) Proximal tibia osteoarticular allograft in tumor limb salvage surgery. Clin Orthop Relat Res 468:1396–1404PubMedCrossRef
11.
go back to reference Ogilvie CM, Crawford EA, Hosalkar HS, King JJ, Lackman RD (2009) Long-term results for limb salvage with osteoarticular allograft reconstruction. Clin Orthop Relat Res 467:2685–2690PubMedCrossRef Ogilvie CM, Crawford EA, Hosalkar HS, King JJ, Lackman RD (2009) Long-term results for limb salvage with osteoarticular allograft reconstruction. Clin Orthop Relat Res 467:2685–2690PubMedCrossRef
12.
go back to reference Roffman M (1986) Combined auto and alloosteochondral grafts for large defects. J Trauma 26:189–191PubMedCrossRef Roffman M (1986) Combined auto and alloosteochondral grafts for large defects. J Trauma 26:189–191PubMedCrossRef
13.
go back to reference Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96PubMed Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96PubMed
14.
go back to reference Shiha AE, Khalifa AR, Assaghir YM, Kenawey MO (2008) Medial transport of the fibula using the Ilizarov device for reconstruction of a massive defect of the tibia in two children. J Bone Joint Surg Br 90:1627–1630PubMedCrossRef Shiha AE, Khalifa AR, Assaghir YM, Kenawey MO (2008) Medial transport of the fibula using the Ilizarov device for reconstruction of a massive defect of the tibia in two children. J Bone Joint Surg Br 90:1627–1630PubMedCrossRef
15.
go back to reference Sim FH, Beauchamp CP, Chao EY (1987) Reconstruction of musculoskeletal defects about the knee for tumor. Clin Orthop Relat Res 221:188–201PubMed Sim FH, Beauchamp CP, Chao EY (1987) Reconstruction of musculoskeletal defects about the knee for tumor. Clin Orthop Relat Res 221:188–201PubMed
Metadata
Title
Unicondylar osteoarticular allograft reconstruction of the distal femur in a patient with a traumatic osteoaticular defect of the lateral femoral condyle
Authors
Ju Hong Lee
Seong Il Wang
Hee Rack Choi
Byung Yun Hwang
Young Jin Lim
Jin Sang Wie
Soon Ho Huh
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1252-8

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