Reconstruction of lateral humerus condylar defect using tricortical iliac crest graft: A case report

Sameer Rathore, Vasil Quadri, Sanjay Tapadia

Pdf Page Numbers :- 72-75

¹Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

 *Corresponding author: Dr. Vasil Quadri, Department of Orthopaedics, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email: vasilquadri2704@gmail.com

 Received 24 December 2015; Revised 25 February 2016; Accepted 1 March 2016; Published 11 March 2016

 Citation:Rathore S, QuadriV, Tapadia S. Reconstruction of lateral humerus condylar defect using tricortical iliac crest graft: A case report. J Med Sci Res. 2016; 4(2):72-75.DOI: http://dx.doi.org/10.17727/JMSR.2016/4-017

 Copyright: © 2016 Rathore S, et al. Published by KIMS Foundation and Research Centre. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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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.

Keywords:tricortical iliac; bony defect;humerus fracture; autologous bone grafting