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


METHODS
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.


CONCLUSIONS
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.
Lee
Ju Hong
JH
Department of Orthopedic Surgery, Chonbuk National University, School of Medicine, Chonbuk National University Hospital, 634-18, Keum-am dong, Jeonju, 561-712, Korea.
Wang
Seong Il
SI
Choi
Hee Rack
HR
Hwang
Byung Yun
BY
Lim
Young Jin
YJ
Wie
Jin Sang
JS
Huh
Soon Ho
SH
D000063:Accidents, Traffic; D001858:Bone Nails; D016025:Bone Transplantation / Q000379:methods*; D004838:Epiphyses / Q000293:injuries / Q000601:surgery*; D016267:External Fixators; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D015601:Injury Severity Score; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012086:Reoperation; D018570:Risk Assessment; D014184:Transplantation, Homologous
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