Журнал клинических случаев

Treatment of Delayed Humeral Intercondylar Fracture Associated with Severe Bone Defects by Iliac Bone Autografting Reconstruction

Abstract

Ye-Jun Zha and Jiang Xie-Yuan

Objective: We report a case of delayed humeral intercondylar fracture associated with severe bone defects treated with iliac bone autografting reconstruction. Methods: A 3-months deleyed case of humeral intercondylar fracture associated with severe bone defects and stiffness was treated by arthrolysis, olecranon osteotomy, internal fixation with parallel plates and iliac bone autografting reconstruction. Results: 4 months later, the patient recovered with full range of motion and bone healing. There was no bone fragment displacement, implant loosening, or internal fixation breakage. Conclusions: For delayed distal humeral intercondylar fracture with severe bone defects, we can successfully treat by arthrolysis, internal fixation with parallel plate, and iliac bone autografting reconstruction. Iliac crest bonegrafting is a good method to reconstruct the bone loss.