Restricted accessResearch articleFirst published online 2025-6
Total elbow allograft augmented with vascularized periosteal grafts for salvage of a failed distal humeral joint replacement for Ewing sarcoma reconstruction
Vascularized periosteal grafts have been used to promote bone union in massive bone defects. We present a child with a failed distal humeral joint replacement for Ewing sarcoma reconstruction, successfully treated with a total elbow allograft augmented by vascularized periosteal grafts.
DelloyeCCornuODubucJ-EVincentABarbierO.[Elbow reconstruction with massive total osteoarticular allograft: early failure due to instability]. Rev Chir Orthop Reparatrice Appar Mot. 2004,
90: 360–4.
2.
HenrichsM-PLiemDGoshegerG, et al.
Megaprosthetic replacement of the distal humerus: still a challenge in limb salvage. J Shoulder Elbow Surg. 2019,
28: 908–14.
3.
KamalapathyPShahARaskinKSchwabJHLozano-CalderónSA.Complications and survivorship of distal humeral allograft reconstruction after tumor resection: literature review and case series. J Am Acad Orthop Surg Glob Res Rev. 2021,
5: e20.00256–00258.
4.
SoldadoFFontechaCGBarberI, et al.
Vascularized fibular periosteal graft: a new technique to enhance bone union in children. J Pediatr Orthop. 2012,
32: 308–13.
5.
SoldadoFKnörrJHaddadS, et al.
Vascularized tibial periosteal graft in complex cases of bone nonunion in children. Microsurgery. 2015,
35: 239–43.
