title: Successful hemicondylar femoral allograft for traumatic bone loss: a paediatric case study with ten years of follow-up.
abstract: The management of massive traumatic defects of the knee joint is challenging, especially in children. Massive osteoarticular allograft may be an option in this kind of traumatic bone loss. We report on the case of a male patient who (at the age of 15) suffered an open grade III condylar femoral joint fracture, with a massive bone defect and a Schatzker V tibial plateau fracture. Ten years after first-line treatment with massive osteoarticular allograft of the lateral femoral condyle, the patient's knee was capable of full extension and 90° flexion. The patient reached a point of being pain free for nine years before he subsequently developed some pain with lateral arthritis progression.
authors.affiliation: Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France.
authors.forename: S
authors.initials: S
authors.lastname: Hornstein
authors.affiliation: Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France.
authors.forename: D
authors.initials: D
authors.lastname: Moukoko
authors.affiliation: Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France.
authors.forename: F
authors.initials: F
authors.lastname: Deroussen
authors.affiliation: Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France.
authors.forename: M C
authors.initials: MC
authors.lastname: Plancq
authors.affiliation: Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France.
authors.forename: L M
authors.initials: LM
authors.lastname: Collet
authors.affiliation: Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France. Electronic address: richard.gouron@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Gouron
mesh_terms: D000293:Adolescent; D064591:Allografts; D016025:Bone Transplantation / Q000379:methods*; D002356:Cartilage / Q000637:transplantation*; D005264:Femoral Fractures / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D019651:Plastic Surgery Procedures; D013978:Tibial Fractures / Q000601:surgery*
keywords: Children; Massive allograft; Osteoarticular defect; Traumatic bone loss; Unicondylar allograft