title: Distal femur osteoarticular allograft reconstruction after grade III open fractures in pediatric patients.
abstract: Even though massive osteoarticular allografts have been reported to restore function successfully after tumor resection, little has been published about this procedure in post-traumatic joint reconstruction. We report two pediatric patients who sustained a grade III open fracture of the distal femur and were treated with osteoarticular allografts as a salvage procedure. In each patient, a femoral condyle was inserted to treat the bone and cartilage defect, and a 4.5 dynamic compressive plate was applied to fix the graft to the host bone. There were no complications after the reconstructive procedure. At 2 and 10 years of follow-up, both patients showed a favorable functional and radiographic outcome using the scoring instruments of the Musculo-skeletal Tumor Society and the International Symposium on Limb Salvage.
authors.affiliation: Instituto de Ortopedia Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina. viviana.gaiteiro@hospitalitaliano.org.ar
authors.forename: D Luis
authors.initials: DL
authors.lastname: Muscolo
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Ayerza
authors.forename: Luis A
authors.initials: LA
authors.lastname: Aponte Tinao
authors.forename: Maximiliano
authors.initials: M
authors.lastname: Ranalletta
mesh_terms: D001862:Bone Resorption / Q000209:etiology / Q000601:surgery*; D016025:Bone Transplantation; D002648:Child; D005260:Female; D005264:Femoral Fractures / Q000150:complications*; D005597:Fractures, Open / Q000150:complications*; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods*; D008297:Male