Osteochondral allograft transplantation for complex distal humeral fractures assisted by 3D computer planning and printing technology: technical note

Purpose The surgical treatment of comminuted distal humeral articular fractures (DHF) is challenging and is jeopardized by the high rate of complications. The study aims to describe the application of osteochondral allograft (OCA) transplantation for the treatment of complex DHF assisted with a 3D p...

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Bibliographic Details
Published in:European journal of orthopaedic surgery & traumatology 2022-10, Vol.32 (7), p.1443-1450
Main Authors: Russo, Raffaele, Guastafierro, Antonio, Della Rotonda, Giuseppe, Viglione, Stefano, Ciccarelli, Michele, Fiorentino, Fabrizio, Minopoli, Paolo, Mortellaro, Marco, Pietroluongo, Livia Renata, Langella, Francesco
Format: Article
Language:English
Subjects:
Fractures
Medical imaging
Medicine
Medicine & Public Health
Orthopedics
Patients
Prostheses
Surgery
Surgical Orthopedics
Technical Note
Transplants & implants
Traumatic Surgery
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Summary:Purpose The surgical treatment of comminuted distal humeral articular fractures (DHF) is challenging and is jeopardized by the high rate of complications. The study aims to describe the application of osteochondral allograft (OCA) transplantation for the treatment of complex DHF assisted with a 3D printed specific instrumentation. Methods Retrospective study. Inclusion criteria were the presence of an articular multi-fragmented DHF treated with frozen OCA. Clinical, self-reported and radiographic outcomes were collected every 6 months. CT were performed at 2 years FU. Results Four patients were included. At a mean follow-up of 37.3 months (24–49) MEPS, DASH and VAS were 90 (80–100), 11.8 (0–25) and 1 (0–3) points, respectively. Not significant complication or reoperation was recorded. Graft healing was observed in 3 cases. In all cases, we observed arthritic progression after 2 years of follow-up. Conclusion OCA transplantation can be considered a reliable and safe procedure in patients affected by a complex DHF. Level of evidence Level V. Technical Notes.
ISSN:1432-1068
1633-8065
1432-1068
DOI:10.1007/s00590-021-03118-6