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. 2008 Jan;466(1):205-9.
doi: 10.1007/s11999-007-0011-8. Epub 2008 Jan 3.

Osteoarticular and total elbow allograft reconstruction with severe bone loss

F Daniel Kharrazi  1 , Benjamin T Busfield, Daniel S Khorshad, Francis J Hornicek, Henry J Mankin
Affiliations

Osteoarticular and total elbow allograft reconstruction with severe bone loss

F Daniel Kharrazi et al. Clin Orthop Relat Res. 2008 Jan.

Abstract

Osteoarticular allograft reconstruction is an option in patients with massive periarticular elbow bone loss secondary to tumor surgery or trauma. Our consecutive series consisted of 18 patients with tumors and one patient with trauma. Reconstruction consisted of 16 hemiarticular allografts and three total elbow osteoarticular allografts; patients had a minimum followup of 2 years (mean, 9.9 years; range, 2-12 years). For patients who had hemiarticular allografts, 14 of 16 were able to return to their preoperative level of occupational function, with one patient experiencing failure of the allograft from infection. For the three patients who had total elbow allograft reconstructions, all had degenerative changes develop after surgery and two of the allografts failed. Complications occurred in six of 19 patients. Hemiarticular elbow allograft reconstruction is useful for limb salvage with massive bone loss. Total elbow allograft reconstructions have a high failure rate in the mid-term.

Level of evidence: Level IV, therapeutic study.

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References

    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '3275676', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/3275676/'}]}
    2. Ackerman G, Jupiter JB. Non-union of fractures of the distal end of the humerus. J Bone Joint Surg Am. 1988;70:75–83. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '15211260', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15211260/'}]}
    2. Allieu Y, Marck G, Chammas M, Debonnet P, Raynaud JP. Total elbow joint allograft for long term posttraumatic osteoarticular loss: follow-up results at twelve years. Rev Chir Orthop Reparatrice Appar Mot. 2004;90:319–328. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '5837643', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/5837643/'}]}
    2. Barr JS, Eaton RG. Elbow reconstruction with a new prosthesis to replace the distal end of the humerus: a case report. J Bone Joint Surg Am. 1965;47:1408–1413. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1097/00005131-199302000-00016', 'is_inner': False, 'url': 'https://doi.org/10.1097/00005131-199302000-00016'}, {'type': 'PubMed', 'value': '8433207', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8433207/'}]}
    2. Behrman MJ, Bigliani LU. Distal humeral replacement after failed continuous passive motion in a T-condylar fracture. J Orthop Trauma. 1993;7:87–89. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '2365716', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/2365716/'}]}
    2. Berrey BH Jr, Lord CR, Gebhardt MC, Mankin HJ. Fractures of allografts: frequency, treatment, and end-results. J Bone Joint Surg Am. 1990;72:825–833. - PubMed