Successful hemicondylar femoral allograft for traumatic bone loss: a paediatric case study with ten years of follow-up.

Autor: Hornstein S; Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France., Moukoko D; Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France., Deroussen F; Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France., Plancq MC; Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France., Collet LM; Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France., Gouron R; Department of Pediatric Orthopedic Surgery, Amiens University Medical Center of Jules Verne University of Picardie, Amiens, France. Electronic address: richard.gouron@gmail.com.
Jazyk: angličtina
Zdroj: The Knee [Knee] 2015 Jan; Vol. 22 (1), pp. 63-6. Date of Electronic Publication: 2014 Nov 07.
DOI: 10.1016/j.knee.2014.10.008
Abstrakt: 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.
(Copyright © 2014 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE