title: Unicondylar osteoarticular allograft reconstruction of the distal femur in a patient with a traumatic osteoaticular defect of the lateral femoral condyle.
abstract: 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.
authors.affiliation: Department of Orthopedic Surgery, Chonbuk National University, School of Medicine, Chonbuk National University Hospital, 634-18, Keum-am dong, Jeonju, 561-712, Korea.
authors.forename: Ju Hong
authors.initials: JH
authors.lastname: Lee
authors.forename: Seong Il
authors.initials: SI
authors.lastname: Wang
authors.forename: Hee Rack
authors.initials: HR
authors.lastname: Choi
authors.forename: Byung Yun
authors.initials: BY
authors.lastname: Hwang
authors.forename: Young Jin
authors.initials: YJ
authors.lastname: Lim
authors.forename: Jin Sang
authors.initials: JS
authors.lastname: Wie
authors.forename: Soon Ho
authors.initials: SH
authors.lastname: Huh
mesh_terms: 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
references.citation: Orthop Clin North Am. 2006 Jan;37(1):65-74
references.pmid: 16311112
references.citation: J Bone Joint Surg Am. 2008 Oct;90 Suppl 2 Pt 2:206-17
references.pmid: 18829934
references.citation: J Orthop Sports Phys Ther. 1998 Aug;28(2):88-96
references.pmid: 9699158
references.citation: Clin Orthop Relat Res. 2009 Oct;467(10):2685-90
references.pmid: 19214644
references.citation: Clin Orthop Relat Res. 1987 Aug;(221):188-201
references.pmid: 3301143
references.citation: J Orthop Trauma. 2004 May-Jun;18(5):312-5
references.pmid: 15105755
references.citation: Knee. 2009 Jan;16(1):1-5
references.pmid: 18954989
references.citation: Clin Orthop Relat Res. 2008 Aug;466(8):1856-62
references.pmid: 18506559
references.citation: Clin Orthop Relat Res. 2010 May;468(5):1396-404
references.pmid: 20020336
references.citation: J Bone Joint Surg Br. 2008 Dec;90(12):1627-30
references.pmid: 19043136
references.citation: Plast Reconstr Surg. 2010 Jan;125(1):215-223
references.pmid: 20048614
references.citation: J Trauma. 1986 Feb;26(2):189-91
references.pmid: 3511268
references.citation: South Med J. 1991 Aug;84(8):975-82
references.pmid: 1882275
references.citation: J Bone Joint Surg Am. 2005 Nov;87(11):2449-55
references.pmid: 16264120
references.citation: Clin Orthop Relat Res. 2000 Apr;(373):73-9
references.pmid: 10810464