Massive allograft replacement of hemiarticular traumatic defects of the elbow

Thomas Breen, Richard H. Gelberman, Robert Leffert, Michael Botte

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33 Scopus citations


Four elbow osteoarticular allografts were done for four patients as salvage procedures for unreconstructable elbow fracture malunions. With a mean follow-up of 60 months (range, 12 to 72 months) all elbows were stable, free of pain, and had mean motion of 130 degrees active flexion and 27 degrees of flexion deformity, 67 degrees pronation and 62 degrees supination (preoperative mean: 104 degrees flexion, 42 degrees flexion contracture, 20 degrees pronation, and 34 degrees supination). Complications occurred in two elbows. One had a deep infection necessitating graft removal and subsequent regrafting. The second had an olecranon osteotomy nonunion. Elbow allografting is recommended as a salvage procedure for massive posttraumatic articular defects, bone loss, or malunion when neither arthrodesis nor conventional arthroplasty is indicated.

Original languageEnglish
Pages (from-to)900-907
Number of pages8
JournalJournal of Hand Surgery
Issue number6
StatePublished - Nov 1988
Externally publishedYes

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