Arthroplasty of the Elbow Joint Using Vascularized Iliac Bone Graft for Reconstruction of Massive Bone Defect of the Distal Humerus

ABSTRACT

The authors present a case of a 39-year-old man with an enormous bone defect of the distal humerus secondary to an infected nonunion, who was successfully reconstructed using a vascularized iliac bone graft. The use of a vascularized iliac bone graft may be an option for reconstructing such massive defects of the metaphyseal area of the humerus.

KEYWORDS

Arthroplasty - elbow joint - vascularized lliac bone graft

REFERENCES

• 1 Cobb T K, Morrey B F. Total elbow arthroplasty as primary treatment for distal humeral fractures in elderly patients.  J Bone Joint Surg. 1997;  79A 826-831
• 2 Hilderbrand K A, Patterson S D, Regan W D, Macdermid J C, King G CW. Functional outcome of semiconstrained total elbow arthroplasty.  J Bone Joint Surg. 2000;  82A 1379-1386
• 3 Dean G S, Holliger E H, Urbaniak J R. Elbow allograft for reconstruction of the elbow with massive bone loss.  Clin Orthop. 1997;  341 12-22
• 4 Shibata M. Elbow joint reconstruction using metatarsophalangeal joint of the great toe. In: Tamai S Experimental and Clinical Reconstructive Microsurgery Tokyo; Springer-Verlag 2003: 496-501
• 5 Froimson A I, Silva J E, Richey D G. Cutis arthroplasty of the elbow joint.  J Bone Joint Surg. 1976;  58A 863-865
• 6 Kita M. Arthroplasty of the elbow using J-K membrane.  Acta Orthop Scand. 1977;  48 450-455
• 7 Smith M A, Savidge G F, Fountain E J. Interposition arthroplasty in the management of advanced haemophilic arthropathy of the elbow.  J Bone Joint Surg. 1983;  65B 436-440