{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:00:26Z","timestamp":1740182426530,"version":"3.37.3"},"reference-count":10,"publisher":"Korean Shoulder and Elbow Society","issue":"3","license":[{"start":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:00:00Z","timestamp":1628553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["cisejournal.org"],"crossmark-restriction":true},"short-container-title":["Clin Shoulder Elbow"],"published-print":{"date-parts":[[2021,9,1]]},"abstract":"<jats:p>We report a case of a 69-year-old right-dominant man who had an open Monteggia-like lesion of the right elbow (Gustilo-Andersen IIIA) with severe proximal ulna bone loss associated with an ipsilateral ulnar shaft fracture due to a motorcycle accident. The patient underwent two-stage surgery. Wound debridement and bridging external fixation were performed at first. Three months later, a frozen massive osteochondral ulnar allograft was implanted and fixed with a locking compression plate. A superficial wound infection appeared 5 weeks after the second surgery. Superficial wound debridement, negative pressure therapy, and antibiotics were administered for 3 months, achieving infection healing. At 3 years post-surgery, the elbow range of motion was satisfactory with a Disabilities of the Arm, Shoulder and Hand (DASH) score of 16.7. Radiographs and computed tomography scans showed good allograft-bone integration without allograft reabsorption or hardware loosening. Although not complication-free, massive ulna osteochondral allograft implantation can be considered a valid option in cases of open Monteggia-like lesions associated with ulnar shaft fracture and severe bone loss in active patients, whenever osteosynthesis or joint replacement is not a proper solution. This type of bone stock restoration allows for future surgery, like arthroplasty, if needed. <\/jats:p>","DOI":"10.5397\/cise.2021.00220","type":"journal-article","created":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T05:01:52Z","timestamp":1628571712000},"page":"183-188","update-policy":"https:\/\/doi.org\/10.5397\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Complex open elbow fracture-dislocation with severe proximal ulna bone loss: a case report of massive osteochondral allograft surgical treatment"],"prefix":"10.5397","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3891-840X","authenticated-orcid":true,"given":"Chiara","family":"Concina","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6673-4435","authenticated-orcid":true,"given":"Marina","family":"Crucil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0321-4608","authenticated-orcid":true,"given":"Emmanouil","family":"Theodorakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1660-5461","authenticated-orcid":true,"given":"Giorgio","family":"Saggin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0862-0795","authenticated-orcid":true,"given":"Silvia","family":"Perin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4759-7257","authenticated-orcid":true,"given":"Franco","family":"Gherlinzoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3351","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.026"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0223-7"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20181206-05"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.16.01222"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2019.11.4.369"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.07.041"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2005.08.003"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5182-1"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/corr.0000000000000806"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4353-3"}],"container-title":["Clinics in Shoulder and Elbow"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2021-00220.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2021.00220","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2021-00220.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T05:20:29Z","timestamp":1630473629000},"score":1,"resource":{"primary":{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2021.00220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,1]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"URL":"https:\/\/doi.org\/10.5397\/cise.2021.00220","relation":{},"ISSN":["2288-8721"],"issn-type":[{"type":"electronic","value":"2288-8721"}],"subject":[],"published":{"date-parts":[[2021,9,1]]},"assertion":[{"value":"2021-04-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-10","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}