EC Orthopaedics

Fractures secondary to firearms normally result in comminuted fractures, which require an individual approach in order, these rep- resent a true challenge for the specialists. Actual treatment is unsatifactory due to the higher risk to develop wound healing com- plications, and small fragments are difficult to attach, and surgical debridement should be performed to prevent wound infection. Osteochondral graft provides a more promissing alternative in the bone and joint healing process in this cases. The objective of this paper is to report the outcome of a comminuted bone fracture in with an osteochondral graft was used to repair the humeral injury. This is a case report article in which fresh frozen masive osteochondral allografts were used to rebuild the proximal right humerus comminutedfracture originated by multiple gunshots. Surgical debridement and a cemented spacer were required in this procedure prior to the osteochondral graft implantation, the surgery was postponed for four weeks due to a specific graft size request. Accurat- egraft’s size was essential for this patient because of his extendended and complicated bone and cartilage involvement. The patient has recovered important range movement, with a slow-pace, but promising outcome, just after six months posterior to the injury, no chronic or recidivant pain was referred by the patient after the graft’s implantation.

Keywords:Osteochondral; Gunshot injury; Proximal Humerus

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