Reconstruction of lateral humerus condylar defect using tricortical iliac crest graft: A case report
Journal Title: Journal of Medical and Scientific Research - Year 2016, Vol 4, Issue 2
Abstract
Comminuted fractures of distal humerus are most commonly the result of high energy trauma. There is an extensive damage to soft tissues along with articular cartilage fragmentation and many a time associated with bone loss. Traditionally such bone voids are filled using a fibular strut graft. In this case report, reconstruction of lateral condyle of humerus, using a tricortical iliac crest graft has been described. A 37-year-old male sustained fracture of distal end of humerus with articular involvement of multifragmentary nature. There was severe comminution of the articular surface especially that of the lateral humerus condyle with bone void. To fill the bone void in the lateral column, tricortical iliac-crest graft was harvested from the ipsilateral iliac crest. Locking plates were applied medially and laterally, and fixation was done. After 6 months of follow-up, the patient showed good elbow range of motion (30 to 80 degrees) and the radiographs showed satisfactory union of the fracture with stable implants. There is also no significant graft donor site co-morbidity.For reconstruction of complex distal humerus fractures with bone void, tricortical iliac crest autologous bone graft can be considered as a feasible option apart from vascularised autologous bone graft and allograft.
Authors and Affiliations
Rathore S, Quadri V, Tapadia S
Keywords
Related Articles
- EP ID EP600293
- DOI 10.17727/JMSR.2016/4-017
- Views 97
- Downloads 0
Primary malignant tumors of the spine
Most common malignant tumors involving the vertebral column are metastatic. Primary malignant tumors involving the axial skeleton are rare. The primary function of spine is anatomical, and is involved in the erect postur...
Mechanical strategies to improve fluid over load in patients with cardiorenal syndrome
Treatment of acute deterioration in cardiac function traditionally involved diuretics, inotropes, and vasodilators. Usage of diuretics to reduce volume overload and pulmonary edema is often slow and many times accompanie...
Screening and prevention of cervical cancers
Cervical cancer in India ranks as the 2nd most frequent cancer among women and the 2nd most frequent cancer among women between 15 and 44 years of age. As per National Cancer Registry, crude incidence and mortality rate...
Apathetic thyrotoxicosis
A 66-year-old male patient presented to the hospital with the complaints of weakness, loss of weight of about 10 kg in 2 months, decreased appetite, increased frequency of urination, not associated with burning sensation...
Electrophysiological effects of diltiazem in chronic bifascicular block
Background: Literature on diltiazem in intraventricular conduction defects is meagre. We studied effects and safety of diltiazem in chronic bifascicular block using His-bundle electrocardiography and pacing. Methods: 2...