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<p>Conservative management of traumatic bone defects of the distal femoral epiphysis presents a surgical challenge. Implant placement in the acute phase carries a significant risk of septic complications, joint stiffness, and early loosening; therefore, it is not an ideal treatment option for these patients, who are often young and have high functional demands. The use of a massive osteochondral allograft is a demanding alternative that requires obtaining a graft of appropriate size, but it allows for the restoration of a satisfactory joint contour with good functional outcomes in the medium term.</p>

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Massive allograft of the femoral condyle following ballistic trauma to the knee: a technical note

  • 期刊论文

  • 发表日期：

    2026年7月24日

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  • Nicolas de l’Escalopier,
  • Antoine Grosset,
  • Georges Pfister,
  • Valérie Dumaine,
  • Laurent Mathieu

摘要

Conservative management of traumatic bone defects of the distal femoral epiphysis presents a surgical challenge. Implant placement in the acute phase carries a significant risk of septic complications, joint stiffness, and early loosening; therefore, it is not an ideal treatment option for these patients, who are often young and have high functional demands. The use of a massive osteochondral allograft is a demanding alternative that requires obtaining a graft of appropriate size, but it allows for the restoration of a satisfactory joint contour with good functional outcomes in the medium term.