title: Corticocancellous olecranon autograft for metacarpal defect reconstruction: a case report.
abstract: BACKGROUND
  High-energy injuries to the hand frequently lead to bone defects as well as soft tissue loss. Early bone grafting of defects is well established in the literature; however, few options are available for autologous corticocancellous grafts. Most frequently cited studies describe the iliac crest or the distal radius donor sites.
  
  
  METHODS
  In this case report, we describe a new technique of obtaining corticocancellous bone graft from the olecranon.
  
  
  RESULTS
  Complete union of the segmental defect was achieved with this technique.
  
  
  CONCLUSIONS
  The olecranon donor site is outside the zone of injury and therefore safe to access, but within the upper extremity, thus avoiding the need for harvest from a distant site such as the iliac crest or the distal femur. Additional benefits of this site are the greater volume of graft that can be harvested compared to the distal radius as well as a more optimal ratio of cancellous to cortical graft available, compared to the iliac crest where the graft may be excessively cortical in nature.
authors.affiliation: Georgetown University Hospital, 3800 Reservoir Rd NW, 1-Main, Washington, DC 20007 USA.
authors.forename: Anna
authors.initials: A
authors.lastname: Babushkina
authors.forename: Scott
authors.initials: S
authors.lastname: Edwards
keywords: Autograft; Bone defect; Metacarpal; Olecranon