{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:57Z","timestamp":1787755497905,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A right hand dominant 10-year-old girl presenting with an open right distal humerus fracture dislocation involving complete medial column bone loss and a &gt;50% trochlea defect was reconstructed with a size-matched, fresh distal humerus osteochondral allograft. Successful bony integration and functional elbow range of motion were achieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A paucity of literature exists to guide the treatment of pediatric distal humerus fractures with significant bone loss. Despite complications associated with osteochondral allografts, they provide a reasonable treatment option to preserve elbow motion in children with unreconstructible intra-articular distal humerus fractures to avoid arthrodesis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00254","type":"journal-article","created":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T08:00:26Z","timestamp":1660377626000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Osteochondral Allograft Reconstruction of a Pediatric Distal Humerus Fracture with Articular Bone Loss"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4932-9512","authenticated-orcid":false,"given":"Kirsten","family":"Norrell","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Missouri Kansas City, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1131-3163","authenticated-orcid":false,"given":"Derec","family":"Stanislav","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kansas City University\/Research Medical Center, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4561-8520","authenticated-orcid":false,"given":"Micah","family":"Sinclair","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Children's Mercy Hospital, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2734-0422","authenticated-orcid":false,"given":"Caroline","family":"Tougas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Children's Mercy Hospital, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,7]]},"reference":[{"issue":"1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.ocl.2012.08.010","article-title":"Intra-articular distal humerus fractures","volume":"44","author":"Miller","year":"2013","journal-title":"Orthop Clin North Am."},{"issue":"1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"S186","DOI":"10.1016\/j.jse.2004.09.033","article-title":"Optimizing stability in distal humeral fracture fixation","volume":"14","author":"O'Driscoll","year":"2005","journal-title":"J Shoulder Elbow Surg."},{"issue":"2","key":"bib3-20240805","first-page":"65","article-title":"Reconstruction of distal humerus fractures with severe bone loss: a case series and review of the literature","volume":"29","author":"Tipton","year":"2020","journal-title":"J Surg Orthop Adv."},{"issue":"197","key":"bib4-20240805","first-page":"131","article-title":"Cadaveric elbow allografts: a six-year experience","author":"Urbaniak","year":"1985","journal-title":"Clin Orthop."},{"issue":"341","key":"bib5-20240805","first-page":"12","article-title":"Elbow allograft for reconstruction of the elbow with massive bone loss. Long term results","author":"Dean","year":"1997","journal-title":"Clin Orthop."},{"issue":"1","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s11999-007-0011-8","article-title":"Osteoarticular and total elbow allograft reconstruction with severe bone loss","volume":"466","author":"Kharrazi","year":"2008","journal-title":"Clin Orthop."},{"key":"bib7-20240805","first-page":"e24","article-title":"Reconstruction of a severe open distal humerus fracture with complete loss of medial column by using a free fibular osteocutaneous graft","volume":"8","author":"Kouvidis","year":"2008","journal-title":"Eplasty."},{"issue":"10","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1097\/01.bot.0000177121.70367.3f","article-title":"Tricortical bone graft for primary reconstruction of comminuted distal humerus fractures","volume":"19","author":"Giannoudis","year":"2005","journal-title":"J Orthop Trauma."},{"issue":"8","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1097\/00005373-198408000-00009","article-title":"Problems in the management of type III (severe) open fractures: a new classification of type III open fractures","volume":"24","author":"Gustilo","year":"1984","journal-title":"J Trauma."},{"issue":"4","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.jse.2004.07.004","article-title":"Reconstruction of the distal humeral metaphysis using free vascularized fibular autograft: a case report","volume":"14","author":"Chantelot","year":"2005","journal-title":"J Shoulder Elbow Surg."},{"issue":"7","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1007\/s00590-017-1955-3","article-title":"Free non-vascularized fibular graft for treatment of large bone defect around the elbow in pediatric patients","volume":"27","author":"Kaewpornsawan","year":"2017","journal-title":"Eur J Orthop Surg Traumatol."},{"issue":"281","key":"bib12-20240805","first-page":"89","article-title":"Compensatory motion in the upper extremity after elbow arthrodesis","author":"O'Neill","year":"1992","journal-title":"Clin Orthop."},{"issue":"6","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1053\/jhsu.2001.28940","article-title":"The effect of simulated elbow arthrodesis on the ability to perform activities of daily living","volume":"26","author":"Tang","year":"2001","journal-title":"J Hand Surg."},{"issue":"6","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"872","DOI":"10.2106\/00004623-198163060-00002","article-title":"A biomechanical study of normal functional elbow motion","volume":"63","author":"Morrey","year":"1981","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/S0363-5023(05)80028-0","article-title":"Functional range of motion of the elbow","volume":"20","author":"Vasen","year":"1995","journal-title":"J Hand Surg."},{"issue":"10","key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"2007","DOI":"10.1016\/j.jse.2020.03.015","article-title":"Elbow motion patterns during daily activity","volume":"29","author":"Haverstock","year":"2020","journal-title":"J Shoulder Elbow Surg."},{"issue":"6","key":"bib17-20240805","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/BPO.0000000000001467","article-title":"Functional elbow range of motion in children and adolescents","volume":"40","author":"Valone","year":"2020","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib18-20240805","doi-asserted-by":"crossref","first-page":"574","DOI":"10.2106\/00004623-199072040-00016","article-title":"The viability of articular cartilage in fresh osteochondral allografts after clinical transplantation","volume":"72","author":"Czitrom","year":"1990","journal-title":"J Bone Joint Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00254","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:07Z","timestamp":1787751847000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00254"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00254","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}